Organization · Type 2 NPI

Wal-Mart Stores Inc

Eyewear Supplier · Cornelius, OR

NPI number 1083929277 Active

Practice location

220 N Adair
Cornelius, OR 97113

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

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.

About NPI 1083929277

Wal-Mart Stores Inc's National Provider Identifier is 1083929277, issued on Aug 11, 2010. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Cornelius, OR. The record was last updated on Aug 11, 2010.