Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Rexburg, ID

NPI number 1467837583 Active

Practice location

303 E Moody Rd
Rexburg, ID 83440

Fax (479) 277-4331

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.

About NPI 1467837583

Wal-Mart Stores, Inc.'s National Provider Identifier is 1467837583, issued on Jul 30, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Rexburg, ID. The record was last updated on Sep 12, 2017.