Wal-Mart Stores, INC DBA Wal-Mart

NPI #1871623447 in Rockton, Illinois

Provider Information

NPI Number
1871623447
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC DBA Wal-Mart
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 6, 2007
Last Updated
Sep 11, 2025

Practice Location

Address
4781 E. ROCKTON RD.
ZIP Code
61072
Phone
(815) 389-7462

Authorized Official

Name
DAVID J. SIMMONS
Title
NPI ASSOCIATE
Phone
(479) 277-9373

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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