Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Cottage Grove, MN

NPI number 1942622089 Active

Practice location

9300 East Point Douglas Rd S
Cottage Grove, MN 55016

Call (651) 846-2836 Map

Fax (651) 459-1875

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
Eyewear Supplier Primary	332H00000X	None listed

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

NPI record

NPI: 1942622089
Entity type: Organization (Type 2)
Issued: Jan 8, 2014
Last updated: Sep 17, 2019
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-2448 · doing business as
Wal-Mart Vision Center 30-2448 · doing business as

Authorized official

Sarah Little
Director of Government Contracting
(479) 277-2500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942622089

Wal-Mart Stores, Inc.'s National Provider Identifier is 1942622089, issued on Jan 8, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Cottage Grove, MN. The record was last updated on Sep 17, 2019.