Wal-Mart Stores Inc
Wal-Mart Stores Inc is a healthcare organization registered as Eyewear Supplier in Forest Park, IL, holding Type 2 (organization) NPI 1508141219 since 2011. The authorized official on file is Dianna Painter, Enrollment Specialist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508141219 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores Inc |
| Other name | <Unavail> |
| Practice address | 1300 DES PLAINES AVE, Forest Park, IL, 60130 |
| Phone | 7087712270 |
| Enumeration date | 2011-10-13 |
| Last updated in NPPES | 2011-10-13 |
Authorized official
| Name | Dianna Painter |
|---|---|
| Title | Enrollment Specialist |
| Phone | 4792771238 |
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: 1508141219 Taxonomy: 332H00000X (Eyewear Supplier) Address: 1300 DES PLAINES AVE, Forest Park, IL, 60130
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194743617 | Walmart Inc. | Organization | Community/Retail Pharmacy | Forest Park, IL |
| 1801496658 | Kathryn Deraedt | Individual | Pharmacist | Forest Park, IL |
| 1144083296 | Panicker Optometry LLC | Organization | Optometrist | Forest Park, IL |
Verify this record
Cross-check NPI 1508141219 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
Who is the authorized official for Wal-Mart Stores Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-10-13.