Organization · Type 2 NPI
Wal Mart Stores, Inc. dba Wal-Mart
Eyewear Supplier · Lake Elsinore, CA
NPI number
1417040262
Active
Practice location
31700 Grape Street
Lake Elsinore, CA 92530-9785
Mailing address
702 SW 8th Street
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.
Other eyewear supplier providers in Lake Elsinore
About NPI 1417040262
Wal Mart Stores, Inc. dba Wal-Mart's National Provider Identifier is 1417040262, issued on Oct 2, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Sep 11, 2025.