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
| 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
- WalmartCommunity/Retail Pharmacy Kankakee, IL NPI 1861860470
- Walmart Inc.Community/Retail Pharmacy Kankakee, IL NPI 1386826014
- Alexis G. McConkeyPharmacist Kankakee, IL NPI 1700487121
- David Leneil Troupe, PharmDPharmacist Kankakee, IL NPI 1578163457
- Kristen M. Richardson, PharmDPharmacist Kankakee, IL NPI 1720237555
- Richard Fosen, B.SPharmacist Kankakee, IL NPI 1578971560
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.