WAL MART STORES INC. DBA WAL-MART NPI 1487786836

NPI Information

  • NPI: 1487786836
  • Provider Name: WAL MART STORES, INC. DBA WAL-MART
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 53D2154314
  • Address: 4255 CY AVENUE
    CASPER (W), WY
    ZIP 82604
  • Phone: (307) 232-9593

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NPI Details

WAL MART STORES, INC. DBA WAL-MART is an eyewear supplier in Casper (w), WY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL MART STORES, INC. DBA WAL-MART NPI is 1487786836. 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:

4255 CY AVENUE
CASPER (W), WY
ZIP 82604
Phone: (307) 232-9593

The provider's authorized official is Sabrina N Sutton .
The authorized official title is Npi Associate and has the following contact phone number (479) 277-1175.

The CLIA number assigned to this NPI record is 53D2154314 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 9/11/2025.

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/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

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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