Wal-Mart Stores, Inc.

Wal-Mart Stores, Inc. is a healthcare organization registered as Eyewear Supplier in Blaine, MN, holding Type 2 (organization) NPI 1639502842 since 2013. The authorized official on file is Laura Levine, Manager of Government Contracting.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1639502842
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores, Inc.
Other name	<Unavail>
Parent organization	Wal-Mart Stores, Inc.
Practice address	11505 ULYSSES ST NE, Blaine, MN, 55434
Phone	7633545402
Enumeration date	2013-08-12
Last updated in NPPES	2013-08-20

Authorized official

Name	Laura Levine
Title	Manager of Government Contracting
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: 1639502842
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 11505 ULYSSES ST NE, Blaine, MN, 55434

Providers at this address

NPI	Name	Type	Specialty	Location
1205273984	Walmart Inc.	Organization	Community/Retail Pharmacy	Blaine, MN
1215535273	Kyle Loftus	Individual	Pharmacist	Blaine, MN
1417555335	Joshua Dehn	Individual	Pharmacist	Blaine, MN
1134727803	Krystal Sievert	Individual	Pharmacist	Blaine, MN
1629848791	Amy Johnson	Individual	Optician	Blaine, MN

Verify this record

Cross-check NPI 1639502842 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 Blaine, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-08-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-08-20.