Organization · Type 2 NPI
Wal-Mart Stores, Inc.
Eyewear Supplier · Gardner, KS
NPI number
1104926997
Active
Practice location
1555 E. Santa Fe St.
Gardner, KS 66030
Mailing address
702 SW 8th St
Bentonville, AR 72716-0235
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.
About NPI 1104926997
Wal-Mart Stores, Inc.'s National Provider Identifier is 1104926997, issued on Sep 22, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Gardner, KS. The record was last updated on Sep 11, 2025.