Organization · Type 2 NPI

Wal-Mart Stores, Inc

Eyewear Supplier · Kankakee, IL

NPI number 1104294065 Active

Practice location

505 Riverstone Pkwy
Kankakee, IL 60901-7207

Fax (479) 277-4331

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.

6 other providers at this address

About NPI 1104294065

Wal-Mart Stores, Inc's National Provider Identifier is 1104294065, issued on Sep 9, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Kankakee, IL. The record was last updated on Sep 11, 2015.