WAL-MART STORES, INC

Eyewear Supplier

Active Organization
NPI: 1053401299

Practice Address

2680 S LINCOLN AVE
Jerome, ID 83338

Phone: (208) 324-4333

Specialties

Specialty Code Primary License
Technician/Technologist - Optician 156FX1800X No -
Eyewear Supplier 332H00000X Yes -

Frequently Asked Questions

NPI 1053401299 is the National Provider Identifier for WAL-MART STORES, INC, a Eyewear Supplier provider located in Jerome, ID. This NPI was enumerated on October 16, 2006.

Quick Facts

NPI
1053401299
Type
Organization
Enumerated
Oct 16, 2006
Last Updated
Sep 11, 2025

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