NPI 1639502842

Wal-Mart Stores, INC.

Organisation Eyewear Supplier Blaine, MN

Practice location

Address: 11505 Ulysses St NE, Blaine, MN 55434-4239
Phone: (763) 354-5402
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Laura Levine
Title: Manager of Government Contracting
Phone: (479) 204-8550

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Minnesota →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Minnesota →

Registry record

NPI: 1639502842
Entity type: Organization
NPI issued: 12 Aug 2013
Record last updated: 20 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.