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Wal-Mart Stores, Inc.

Wal-Mart Stores, Inc. is a healthcare organization registered as Eyewear Supplier in Centralia, IL, holding Type 2 (organization) NPI 1477908770 since 2016. The authorized official on file is Laura Levine, Dir. Healthcare Contract&Enrollment.

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NPI 1477908770
Entity type Organization (Type 2)
Legal business name Wal-Mart Stores, Inc.
Other name <Unavail>
Practice address 1212 W MCCORD ST, Centralia, IL, 62801
Phone 4792048705
Enumeration date 2016-04-25
Last updated in NPPES 2016-04-25

Authorized official

Name Laura Levine
Title Dir. Healthcare Contract&Enrollment
Phone 4792048550

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: 1477908770
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 1212 W MCCORD ST, Centralia, IL, 62801

Providers at this address

NPI Name Type Specialty Location
1578580841 Walmart Inc. Organization Community/Retail Pharmacy Centralia, IL
1609476902 Diann Brammeier Individual Pharmacist Centralia, IL
1275133589 Lindsay Garrison Individual Pharmacist Centralia, IL
1407456460 Lindsey Tucker Individual Pharmacist Centralia, IL
1982311031 Rebecca Kutchma Individual Pharmacist Centralia, IL

Verify this record

Cross-check NPI 1477908770 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 Centralia, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-25.