Organization · Type 2 NPI
Wal-Mart Stores, Inc
Eyewear Supplier · Jerome, ID
NPI number
1053401299
Active
Practice location
2680 S Lincoln Ave
Jerome, ID 83338-6128
Mailing address
702 SW 8th St
Bentonville, AR 72716-0235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician | 156FX1800X | None listed |
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
6 other providers at this address
- Walmart Inc.Community/Retail Pharmacy Jerome, ID NPI 1700803053
- Charles Barnes, PharmDPharmacist Jerome, ID NPI 1164201554
- Jacob McCall Schimpf, PharmDPharmacist Jerome, ID NPI 1215539648
- Jon E. Heitzman, ODOptometrist Jerome, ID NPI 1194838375
- Lexa Marie BallingPharmacist Jerome, ID NPI 1790231355
- Peter A. Gibbons, PharmDPharmacist Jerome, ID NPI 1639586761
About NPI 1053401299
Wal-Mart Stores, Inc's National Provider Identifier is 1053401299, issued on Oct 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jerome, ID. The record was last updated on Sep 11, 2025.