Organization · Type 2 NPI
Wal-Mart Stores, Inc
Eyewear Supplier · Du Quoin, IL
NPI number
1164503272
Active
Practice location
215 E Grantway St
Du Quoin, IL 62832-1923
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.
4 other providers at this address
About NPI 1164503272
Wal-Mart Stores, Inc's National Provider Identifier is 1164503272, issued on Oct 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Du Quoin, IL. The record was last updated on Sep 11, 2025.