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
1	156FX1800X	Optician
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1730260837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAL-MART STORES, INC.

Provider Business Mailing Address
First Line	:	702 SW 8TH STREET
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72716-0235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 73RD ST
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50311-1311
Country	:	US
Telephone Number	:	515-274-6224
Fax Number	:

Authorized Official
Title or Position	:	NPI COORDINATOR
Name	:	LINDA M. EPPERSON
Credential	:
Telephone Number	:	316-788-5580

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1528133279 — NATIONAL HEARING CENTERS
Practice Location Address:

1001 73RD ST
WINDSOR HEIGHTS, IA
50311-1311

Practice Phone: 515-274-9907
Practice Fax:

1740279470 — MARK L. BOTTELSON, O.D. AND ASSOCIATES, P.C.
Practice Location Address:

1001 73RD ST , VISION CENTER
WINDSOR HEIGHTS, IA
50324-1311

Practice Phone: 515-274-6452
Practice Fax: 515-274-6306

1639196017 — WALMART INC.
Practice Location Address:

1001 73RD ST
WINDSOR HEIGHTS, IA
50324-1311

Practice Phone: 515-274-6359
Practice Fax:

1689859704 — MARK LEROY BOTTELSON O.D.
Practice Location Address:

1001 73RD ST , VISION CENTER
WINDSOR HEIGHTS, IA
50324-1311

Practice Phone: 515-274-6452
Practice Fax: 515-274-6306

1891021267 — TIMOTHY A. STRONG
Practice Location Address:

1001 73RD ST
WINDSOR HEIGHTS, IA
50324-1311

Practice Phone: 515-274-9907
Practice Fax:

1144056169 — EMMA GARCIA
Practice Location Address:

1001 73RD ST
WINDSOR HEIGHTS, IA
50324-1311

Practice Phone: 515-274-6359
Practice Fax:

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.