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WAL-MART VISION CENTER30-3102
NPI 1710221023
Eyewear Supplier in Princeton, MN

Active since November 27, 2012
300 21ST AVE N, PRINCETON, MN 55371(763) 389-1561 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wal-mart Vision Center30-3102 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART VISION CENTER30-3102 (NPI 1710221023) is a healthcare organization registered as an eyewear supplier in Princeton, Minnesota and active in the NPI registry since November 2012. The organization lists Amy Powers, Specialist, Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1710221023
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES INC
Location Address300 21ST AVE NPrinceton, MN 55371
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(763) 389-1561
Organization SubpartYes
Authorized OfficialAmy PowersSpecialist, Plan Enrollment · (479) 204-0709
Enumeration DateNovember 27, 2012
✔ NPI 1710221023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
300 21ST AVE N, Princeton, MN 55371
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Other Names 1

Doing Business AsWal-mart Vision Center30-3102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
300 21ST AVE N
PRINCETON, MN 55371
Mille Lacs County (763) 389-1148
CHELSEA RAE BREZINKA
Pharmacist
300 21ST AVE N
PRINCETON, MN 55371
Mille Lacs County (763) 389-1148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores Inc's NPI number?

The NPI number for Wal-Mart Stores Inc is 1710221023. It was assigned to this organization in the NPPES registry on November 27, 2012. The provider is doing business as Wal-Mart Vision Center30-3102.

Where is Wal-Mart Stores Inc located?

Wal-Mart Stores Inc is located at 300 21st Ave N, Princeton, MN 55371. The listed phone number is (763) 389-1561.

What is Wal-Mart Stores Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores Inc was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.