Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Minocqua, WI
NPI number
1700255239
Active
Practice location
8760 Northridge Way
Minocqua, WI 54548-8766
Fax (715) 356-3849
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.
4 other providers at this address
About NPI 1700255239
Wal-Mart Stores East, LP's National Provider Identifier is 1700255239, issued on Sep 15, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Minocqua, WI. The record was last updated on Oct 8, 2015.