Organization · Type 2 NPI

Wal-Mart Stores, Inc

Eyewear Supplier · Charleston, IL

NPI number 1477636090 Active

Practice location

2250 Lincoln Ave
Charleston, IL 61920-3028

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.

6 other providers at this address

About NPI 1477636090

Wal-Mart Stores, Inc's National Provider Identifier is 1477636090, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Charleston, IL. The record was last updated on Sep 11, 2025.