National Provider Identifier Database

WAL MART STORES INC
Optician


Contact Information

WAL-MART STORES, INC.
2080 NO. ST. ROUTE 50
BRADLEY, IL60914
Phone: 815-929-0429
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for WAL-MART STORES, INC.

NPI Number 1316116015
Legal business name
LBN
WAL-MART STORES, INC.
Authorized official DAVID SIMMONS - (NPI ASSOCIATE)
Entity Organization
Organization subpart No
Enumeration date 02/27/2008
Last updated 02/27/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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