NPI 1063800175

Wal-Mart Stores, INC

Organisation Eyewear Supplier Council Bluffs, IA

Practice location

Address: 1800 N 16th St, Council Bluffs, IA 51501-0123
Phone: (712) 890-3916
Fax: (712) 352-0288
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Deb Lauver
Title: Specialist Plan Enrollment
Phone: (478) 258-2115

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Iowa →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Iowa →

Registry record

NPI: 1063800175
Entity type: Organization
NPI issued: 26 Dec 2014
Record last updated: 26 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.