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

TaxonomyCodeLicense
Optician Primary 156FX1800XNone listed
Eyewear Supplier 332H00000XNone 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.