Wal-Mart Stores, Inc

Wal-Mart Stores, Inc is a healthcare organization registered as Eyewear Supplier in Niles, IL, holding Type 2 (organization) NPI 1174604185 since 2006. The authorized official on file is Nicole Gentile, Npi Coordinator.

✓ Active NPI ✓ Valid NPI checksum

NPI	1174604185
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores, Inc
Other name	<Unavail>
Practice address	5630 W TOUHY AVE, Niles, IL, 60714
Phone	8476478641
Enumeration date	2006-10-17
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: 1174604185
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 5630 W TOUHY AVE, Niles, IL, 60714

Providers at this address

NPI	Name	Type	Specialty	Location
1134146426	Walmart Inc.	Organization	Community/Retail Pharmacy	Niles, IL
1720194830	Scott Ford	Individual	Optometrist	Niles, IL
1154807428	Scott B. Ford, Ltd	Organization	Optometrist	Niles, IL
1447739941	Jerome Jones	Individual	Pharmacist	Niles, IL
1558963298	Muhanad Diab	Individual	Pharmacist	Niles, IL
1083340038	Mustafa Mohammed Ali	Individual	Pharmacist	Niles, IL

Verify this record

Cross-check NPI 1174604185 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

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.

Where is Wal-Mart Stores, Inc located?

The practice location on file with NPPES is in Niles, IL.

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