Wal-Mart Stores, Inc
Eyewear Supplier · Ottawa, IL
Practice location
4041 Veterans Dr.Ottawa, IL 61350
- Phone
- (815) 434-0120
NPI record
- NPI
- 1467533570
- Entity type
- Organization (Type 2)
- Enumeration date
- October 17, 2006
- Last updated
- September 11, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Eyewear Supplier Primary | 332H00000X |
— | — |
| Optician | 156FX1800X |
— | — |
Mailing address
702 SW 8TH St.Bentonville, AR 72716-0235
Authorized official
- Name
- Nicole D Gentile
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Other names
- Vision Center 30-0852
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 4041 Veterans Dr., Ottawa, IL 61350. The NPI number 1467533570 was assigned on October 17, 2006 and the record was last updated on September 11, 2025.
The authorized official for this organization is Nicole D Gentile, Npi Coordinator.
Frequently asked questions
What is the NPI number of Wal-Mart Stores, Inc?
The NPI number is 1467533570.
What is the phone number of Wal-Mart Stores, Inc?
The phone number listed for the practice location is (815) 434-0120.
Where is Wal-Mart Stores, Inc located?
4041 Veterans Dr., Ottawa, IL 61350.
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.