Wal-Mart Stores, Inc.

Eyewear Supplier · Fridley, MN

Organization Active NPI

NPI number 1114000809

Practice location

8450 University Ave NE
Fridley, MN 55432-1164
Phone
(763) 780-9400

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NPI record

NPI
1114000809
Entity type
Organization (Type 2)
Enumeration date
October 24, 2006
Last updated
September 11, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Eyewear Supplier Primary 332H00000X — —
Optician 156FX1800X — —

Mailing address

702 SW 8TH Street
Bentonville, AR 72716-0235

Authorized official

Name
Linda M. Epperson
Title
Npi Coordinator
Phone
(316) 788-5580

Other names

  • Vision Center 30-1952

About Wal-Mart Stores, Inc.

Wal-Mart Stores, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 8450 University Ave NE, Fridley, MN 55432-1164. The NPI number 1114000809 was assigned on October 24, 2006 and the record was last updated on September 11, 2025.

The authorized official for this organization is Linda M. Epperson, Npi Coordinator.

Frequently asked questions

What is the NPI number of Wal-Mart Stores, Inc.?

The NPI number is 1114000809.

What is the phone number of Wal-Mart Stores, Inc.?

The phone number listed for the practice location is (763) 780-9400.

Where is Wal-Mart Stores, Inc. located?

8450 University Ave NE, Fridley, MN 55432-1164.

What is the taxonomy code for Wal-Mart Stores, Inc.?

The primary taxonomy code is 332H00000X – Eyewear Supplier; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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