Organization · Type 2 NPI

Wal-Mart Stores, Inc. dba Wal-Mart

Eyewear Supplier · Fort Scott, KS

NPI number 1639200058 Active

Practice location

2500 S Main
Fort Scott, KS 66701

Mailing address

702 SW 8th Street
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.

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About NPI 1639200058

Wal-Mart Stores, Inc. dba Wal-Mart's National Provider Identifier is 1639200058, issued on Mar 8, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Scott, KS. The record was last updated on Sep 11, 2025.