Organization · Type 2 NPI

Wal-Mart Stores, Inc. dba Wal-Mart

Eyewear Supplier · Waukegan, IL

NPI number 1710015219 Active

Practice location

3900 Fountain Square Pl
Waukegan, IL 60085-6705

Call (847) 473-2193 Map

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.

8 other providers at this address

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About NPI 1710015219

Wal-Mart Stores, Inc. dba Wal-Mart's National Provider Identifier is 1710015219, issued on Feb 28, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Waukegan, IL. The record was last updated on Sep 11, 2025.