OrganizationActive
Wal-Mart Stores, Inc.
NPI 1639502842 · Eyewear Supplier · Blaine, MN
Wal-Mart Stores, Inc. is a Eyewear Supplier organization in Blaine, MN (NPI 1639502842).
Provider details
- NPI number
- 1639502842
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores, Inc.
- Organization subpart
- Yes
- Authorized official
- Laura Levine, Manager of Government Contracting(479) 204-8550
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11505 Ulysses St Ne
Blaine, MN 55434-4239
Phone: (763) 354-5402
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Wal-Mart Pharmacy 30-5976
Registry dates
- Enumerated
- 2013-08-12
- Last updated
- 2013-08-20
Frequently asked questions
- What is Wal-Mart Stores, Inc.'s NPI number?
- Wal-Mart Stores, Inc.'s National Provider Identifier (NPI) is 1639502842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores, Inc.?
- Wal-Mart Stores, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Wal-Mart Stores, Inc. located?
- Wal-Mart Stores, Inc.'s practice location on file with NPPES is 11505 Ulysses St Ne, Blaine, MN 55434-4239.
- What is Wal-Mart Stores, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores, Inc. is (763) 354-5402.
- Who is the authorized official for Wal-Mart Stores, Inc.?
- The authorized official listed on Wal-Mart Stores, Inc.'s NPPES record is Laura Levine, Manager of Government Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores, Inc.'s NPI active?
- Yes — Wal-Mart Stores, Inc.'s NPI (1639502842) is active in the NPPES registry as of the last update on 2013-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.