Organization · Type 2 NPI

Wal-Mart Stores, Inc

Eyewear Supplier · Rockford, IL

NPI number 1063595643 Active

Practice location

3902 W Riverside Blvd
Rockford, IL 61101-9507

Call (815) 962-4071 Map

Mailing address

702 SW 8th St.
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.

6 other providers at this address

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About NPI 1063595643

Wal-Mart Stores, Inc's National Provider Identifier is 1063595643, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Rockford, IL. The record was last updated on Sep 11, 2025.