Wal-Mart Stores, Inc.
Wal-Mart Stores, Inc. is a healthcare organization registered as Eyewear Supplier in Logan, UT, holding Type 2 (organization) NPI 1619053808 since 2006. The authorized official on file is Nicole Gentile, Npi Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619053808 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores, Inc. |
| Other name | <Unavail> |
| Practice address | 1550 N MAIN ST, Logan, UT, 84341 |
| Phone | 4357530880 |
| Enumeration date | 2006-10-31 |
| 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: 1619053808 Taxonomy: 332H00000X (Eyewear Supplier) Address: 1550 N MAIN ST, Logan, UT, 84341
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770500969 | Walmart Inc. | Organization | Community/Retail Pharmacy | North Logan, UT |
| 1447466347 | Kent Petersen | Individual | Pharmacist | Logan, UT |
| 1275743015 | Gary Durfey | Individual | Pharmacist | Logan, UT |
| 1164822995 | Paul Bradley | Individual | Pharmacist | North Logan, UT |
| 1700269156 | Visionhealth Eyecare Pllc | Organization | Optometrist | North Logan, UT |
| 1265801419 | Eric Parker | Individual | Pharmacist | North Logan, UT |
| 1942746342 | Bruce Lundin Od LLC | Organization | Optometrist | North Logan, UT |
Verify this record
Cross-check NPI 1619053808 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
What is a Type 2 NPI?
What type of organization is Wal-Mart Stores, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.