OrganizationActive
Wal-Mart Stores, Inc
NPI 1720168636 · Eyewear Supplier · Port Angeles, WA
Provider details
- NPI number
- 1720168636
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dianna Painter, Enrollment Specialist(479) 277-1238
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3411 E Koloneles Way
Port Angeles, WA 98362
Phone: (360) 452-6131
Street-level locationGet directions
Mailing address
702 Sw 8th St.
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Wal-Mart Vision Center 30-2196
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2011-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.