Organization · Type 2 NPI

Wal-Mart Stores, Inc

Eyewear Supplier · Andover, MN

NPI number 1144658402 Active

Practice location

1851 Bunker Lake Blvd NW
Andover, MN 55304-4010

Call (479) 273-4885 Map

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

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About NPI 1144658402

Wal-Mart Stores, Inc's National Provider Identifier is 1144658402, issued on Oct 24, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Andover, MN. The record was last updated on Oct 24, 2013.