Organization · Type 2 NPI

Wal-Mart Stores Inc

Eyewear Supplier · Bloomingdale, IL

NPI number 1700219474 Active

Practice location

314 W Army Trail Rd
Bloomingdale, IL 60108-2300

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.

7 other providers at this address

Other eyewear supplier providers in Bloomingdale

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NPI record

NPI: 1700219474
Entity type: Organization (Type 2)
Issued: Aug 16, 2013
Last updated: Aug 16, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-1553 · 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 1700219474

Wal-Mart Stores Inc's National Provider Identifier is 1700219474, issued on Aug 16, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bloomingdale, IL. The record was last updated on Aug 16, 2013.