DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WAL-MART STORES, INC

MEDICARE: WAL-MART STORES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician
2332H00000XEyewear Supplier

General Provider Information

NPI Number : 1083700140
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAL-MART STORES, INC
Provider Business Mailing Address
First Line : 702 SW 8TH ST
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8900 OLD SEWARD HWY
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2022
Country : US
Telephone Number : 907-344-5300
Fax Number :
Authorized Official
Title or Position : NPI COORDINATOR
Name : NICOLE D GENTILE
Credential :
Telephone Number : 316-788-5580
Provider Enumeration Date : 10/05/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1013875509 — JONATHAN ESTRELLADO CASTILLO PHARMD
Practice Location Address:
8900 OLD SEWARD HWY
ANCHORAGE, AK
99515-2022
Practice Phone: 907-344-5300
Practice Fax:
1427075738 — WALMART INC.
Practice Location Address:
8900 OLD SEWARD HWY
ANCHORAGE, AK
99515-2022
Practice Phone: 907-344-7300
Practice Fax: 907-344-7305
1255410205 — ROGER PAUL PENROD RPH
Practice Location Address:
8900 OLD SEWARD HWY
ANCHORAGE, AK
99515-2022
Practice Phone: 907-344-7300
Practice Fax: 907-344-7305
1942348289 — DR. PATTIE TANG O.D.
Practice Location Address:
8900 OLD SEWARD HWY
ANCHORAGE, AK
99515-2022
Practice Phone: 907-569-2030
Practice Fax:
1609003110 — TANG EYECARE INC
Practice Location Address:
8900 OLD SEWARD HWY
ANCHORAGE, AK
99515-2022
Practice Phone: 907-569-2030
Practice Fax:
1346591203 — DEREK J STOLEN
Practice Location Address:
8900 OLD SEWARD HWY
ANCHORAGE, AK
99515-2022
Practice Phone: 907-344-7300
Practice Fax: 907-344-7305

Directions to “WAL-MART STORES, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.