Organization · Type 2 NPI
Wal-Mart Stores East, LP
Optician · Jefferson, WI
NPI number
1184093619
Active
Practice location
1520 S Main St
Jefferson, WI 53549-2940
Fax (920) 674-2176
Mailing address
1 Customer Dr
Bentonville, AR 72716-0445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician Primary | 156FX1800X | None listed |
| Eyewear Supplier | 332H00000X | None listed |
Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
4 other providers at this address
About NPI 1184093619
Wal-Mart Stores East, LP's National Provider Identifier is 1184093619, issued on Sep 15, 2015. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Jefferson, WI. The record was last updated on Oct 26, 2026.