Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Detroit Lakes, MN

NPI number 1063593564 Active

Practice location

1583 Highway 10 W
Detroit Lakes, MN 56501-2232

Call (218) 847-1126 Map

Mailing address

702 SW 8th Street
Bentonville, AR 72716-0235

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

7 other providers at this address

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About NPI 1063593564

Wal-Mart Stores, Inc.'s National Provider Identifier is 1063593564, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Sep 11, 2025.