Wal-Mart Stores, Inc

Wal-Mart Stores, Inc is a healthcare organization registered as Eyewear Supplier in Lacey, WA, holding Type 2 (organization) NPI 1104907146 since 2006. The authorized official on file is Nicole Gentile, Npi Coordinator.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104907146
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores, Inc
Other name	<Unavail>
Practice address	1401 GALAXY DR NE, Lacey, WA, 98516
Phone	3604566550
Enumeration date	2006-10-18
Last updated in NPPES	2025-09-11

Authorized official

Name	Nicole Gentile
Title	Npi Coordinator
Phone	3167885580

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
156FX1800X	Optician	Secondary	—	—
332H00000X	Eyewear Supplier	Primary	—	—

Copy-ready billing details

Provider: Wal-Mart Stores, Inc
NPI: 1104907146
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 1401 GALAXY DR NE, Lacey, WA, 98516

Providers at this address

NPI	Name	Type	Specialty	Location
1821015959	Walmart Inc.	Organization	Community/Retail Pharmacy	Lacey, WA
1356457436	Joseph Glandon	Individual	Optometrist	Lacey, WA
1922444041	Tracy Mock	Individual	Pharmacist	Lacey, WA
1457762536	Dr Joseph Glandon LLC	Organization	Optometrist	Lacey, WA
1932516051	Fredrick Thompson	Individual	Pharmacist	Lacey, WA
1982130563	Sumera Saeed	Individual	Pharmacist	Lacey, WA
1336785047	Jessica Groves	Individual	Pharmacist	Lacey, WA

Verify this record

Cross-check NPI 1104907146 against the authoritative CMS record: view Wal-Mart Stores, Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Wal-Mart Stores, Inc located?

The practice location on file with NPPES is in Lacey, WA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.