Organization · Type 2 NPI

Wal-Mart Stores Inc

Eyewear Supplier · Chicago, IL

NPI number 1477993186 Active

Practice location

10900 S. Doty Ave
Chicago, IL 60064

Call (479) 204-0709 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

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.

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NPI record

NPI: 1477993186
Entity type: Organization (Type 2)
Issued: Jun 26, 2013
Last updated: Jun 26, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-5965 · doing business as

Authorized official

Amy Powers
Specialist, Plan Enrollment
(479) 204-0709

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477993186

Wal-Mart Stores Inc's National Provider Identifier is 1477993186, issued on Jun 26, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 26, 2013.