Organization · Type 2 NPI

Wal-Mart Stores, Inc

Eyewear Supplier · Lacey, WA

NPI number 1104907146 Active

Practice location

1401 Galaxy Dr NE
Lacey, WA 98516-4746

Call (360) 456-6550 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.

7 other providers at this address

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About NPI 1104907146

Wal-Mart Stores, Inc's National Provider Identifier is 1104907146, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lacey, WA. The record was last updated on Sep 11, 2025.