Organization · Type 2 NPI
Wal-Mart Stores, Inc.
Eyewear Supplier · Benton, IL
NPI number
1356455315
Active
Practice location
919 Giacone Dr
Benton, IL 62812-1639
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 1356455315
Wal-Mart Stores, Inc.'s National Provider Identifier is 1356455315, issued on Aug 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Benton, IL. The record was last updated on Sep 11, 2025.