Organization · Type 2 NPI
Wal-Mart Stores, Inc
Eyewear Supplier · Wood River, IL
NPI number
1679654792
Active
Practice location
1501 Vaughn Rd
Wood River, IL 62095-1855
Mailing address
702 SW 8th St
Bentonville, AR 72716-0235
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.
Other eyewear supplier providers in Wood River
About NPI 1679654792
Wal-Mart Stores, Inc's National Provider Identifier is 1679654792, issued on Oct 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Wood River, IL. The record was last updated on Sep 11, 2025.