Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Blaine, MN

NPI number 1003999640 Active

Practice location

4405 Pheasant Ridge Dr NE
Blaine, MN 55449-4531

Call (763) 784-0147 Map

Mailing address

702 SW 8th Street
Bentonville, AR 72716-0235

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1003999640

Wal-Mart Stores, Inc.'s National Provider Identifier is 1003999640, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Blaine, MN. The record was last updated on Sep 11, 2025.