Organization · Type 2 NPI

Wal-Mart Stores Inc

Eyewear Supplier · Irvine, CA

NPI number 1679817092 Active

Practice location

16555 Von Karman Ave
Irvine, CA 92606-4928

Call (949) 623-7470 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.

3 other providers at this address

Other eyewear supplier providers in Irvine

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NPI record

NPI: 1679817092
Entity type: Organization (Type 2)
Issued: Nov 26, 2012
Last updated: Nov 26, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Pharmacy 30-5644 · 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 1679817092

Wal-Mart Stores Inc's National Provider Identifier is 1679817092, issued on Nov 26, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Irvine, CA. The record was last updated on Nov 26, 2012.