Organization · Type 2 NPI

Wal-Mart Stores, Inc

Eyewear Supplier · Mountain Home, ID

NPI number 1578647897 Active

Practice location

2745 American Legion Blvd
Mountain Home, ID 83647-3185

Call (208) 587-0601 Map

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 1578647897

Wal-Mart Stores, Inc's National Provider Identifier is 1578647897, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mountain Home, ID. The record was last updated on Sep 11, 2025.