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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WAL-MART STORES, INC

Active Organization

WAL-MART STORES, INC is a Eyewear Supplier organization located in PONDERAY, Idaho. NPI 1114017357 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · PONDERAY, ID

Registration Details

NPI Number
1114017357
Provider Type
Organization
NPI Issued
Oct 16, 2006 (19.858782539552 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
476999 HIGHWAY 95
PONDERAY, ID, 838529738
Browse ID providers · Browse ZIP 83852
Phone
2082658332
Primary Specialty
Eyewear Supplier
332H00000X
Additional Specialty
Eyewear Supplier
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.