OrganizationActive
Wal-Mart Stores, Inc
NPI 1104907146 · Eyewear Supplier · Lacey, WA
Wal-Mart Stores, Inc is a Eyewear Supplier organization in Lacey, WA (NPI 1104907146).
Provider details
- NPI number
- 1104907146
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Nicole Gentile, Npi Coordinator(316) 788-5580
Practice location
1401 Galaxy Dr Ne
Lacey, WA 98516-4746
Phone: (360) 456-6550
Street-level locationGet directions
Mailing address
702 Sw 8th St.
Bentonville, AR 72716-0235
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.