Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · La Grande, OR

NPI number 1720169261 Active

Practice location

11619 Island Ave
La Grande, OR 97850-8459

Mailing address

702 SW 8th St
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 1720169261

Wal-Mart Stores, Inc.'s National Provider Identifier is 1720169261, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in La Grande, OR. The record was last updated on Sep 11, 2025.