Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Centralia, IL

NPI number 1477908770 Active

Practice location

1212 W Mccord St
Centralia, IL 62801-5648

Mailing address

702 SW 8th St, Mailstop 0445
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.

5 other providers at this address

About NPI 1477908770

Wal-Mart Stores, Inc.'s National Provider Identifier is 1477908770, issued on Apr 25, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Centralia, IL. The record was last updated on Apr 25, 2016.