Organization · Type 2 NPI

Wal-Mart Store, Inc.

Eyewear Supplier · Lake Havasu City, AZ

NPI number 1386819142 Active

Practice location

5695 Hwy 95 N
Lake Havasu City, AZ 86403-9646

Fax (928) 472-2815

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

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.

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About NPI 1386819142

Wal-Mart Store, Inc.'s National Provider Identifier is 1386819142, issued on Apr 23, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Jul 21, 2022.