WAL-MART STORES, INC

Eyewear Supplier

Active Organization
NPI: 1104294065

Practice Address

505 RIVERSTONE PKWY
Kankakee, IL 60901

Phone: (479) 204-8550

Specialties

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

Frequently Asked Questions

NPI 1104294065 is the National Provider Identifier for WAL-MART STORES, INC, a Eyewear Supplier provider located in Kankakee, IL. This NPI was enumerated on September 9, 2015.

Quick Facts

NPI
1104294065
Type
Organization
Enumerated
Sep 9, 2015
Last Updated
Sep 11, 2015

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