Organization · Type 2 NPI

Wal-Mart Stores, LP

Eyewear Supplier · Portage, MI

NPI number 1124101761 Active

Practice location

8350 Shaver Rd
Portage, MI 49024-5441

Call (269) 323-2460 Map

Mailing address

702 SW 8th Street
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.

3 other providers at this address

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About NPI 1124101761

Wal-Mart Stores, LP's National Provider Identifier is 1124101761, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Portage, MI. The record was last updated on Sep 11, 2025.