# WAL-MART STORES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vision Center 30-3729
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821179862
- **Authorized official:** NICOLE D GENTILE (NPI COORDINATOR)
- **Authorized official phone:** (316) 788-5580

## Contact information

- **Practice address:** 5065 PYRAMID WAY, SPARKS, NV 89436-7703
- **Practice address phone:** (775) 425-9300
- **Practice address fax:** (775) 425-9337
- **Mailing address:** 702 SW 8TH ST., BENTONVILLE, AR 72716-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 03/10/2025