Wal-Mart Stores, Inc.
NPI #1508028333 in Springfield, Illinois
Provider Information
- NPI Number
- 1508028333
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jul 2, 2008
- Last Updated
- Jul 2, 2008
Practice Location
- Address
- 1100 LEJUNE DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-4537
- Phone
- (217) 529-6336
Authorized Official
- Name
- DAVID J SIMMONS
- Title
- NPI ASSOCIATE
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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