Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Stores, Inc

Organization Optician · NPI 1639502842

Wal-Mart Stores, Inc is an Optician in Blaine, Minnesota. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11505 Ulysses St NE
Blaine, MN 55434-4239
Phone: (763) 354-5402
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1639502842
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores, Inc
Authorized official Laura Levine — Manager Of Government Contracting · (479) 204-8550
Other names Wal-Mart Pharmacy 30-5976
NPI enumeratedAugust 12, 2013
Last updated in NPPESAugust 20, 2013
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

Other providers in Blaine