WAL-MART STORES INC NPI 1144303702

NPI Information

  • NPI: 1144303702
  • Provider Name: WAL-MART STORES, INC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • :
  • Address: 4700 135TH ST
    CRESTWOOD, IL
    ZIP 60418
  • Phone: (708) 489-5547

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NPI Details

WAL-MART STORES, INC is an optician technician technologist in Crestwood, IL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. WAL-MART STORES, INC NPI is 1144303702. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

4700 135TH ST
CRESTWOOD, IL
ZIP 60418-405
Phone: (708) 489-5547
Fax: (708) 489-8012

The provider's authorized official is Nicole D Gentile .
The authorized official title is Npi Coordinator and has the following contact phone number (316) 788-5580.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 3/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianYes
2332H00000XEyewear SupplierNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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