Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Independence, KS

NPI number 1710069778 Active

Practice location

121 Peter Pan Rd
Independence, KS 67301-7307

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.

5 other providers at this address

About NPI 1710069778

Wal-Mart Stores, Inc.'s National Provider Identifier is 1710069778, issued on Oct 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Independence, KS. The record was last updated on Sep 11, 2025.