Organization · Type 2 NPI

Wal-Mart Stores, Inc

Eyewear Supplier · Medford, OR

NPI number 1184711632 Active

Practice location

3615 Crater Lake Hwy
Medford, OR 97504-9259

Mailing address

702 SW 8th St.
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.

8 other providers at this address

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About NPI 1184711632

Wal-Mart Stores, Inc's National Provider Identifier is 1184711632, issued on Oct 6, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Medford, OR. The record was last updated on Sep 11, 2025.