NPI 1083796999

Wal-Mart Stores East, LP

Organisation Optician Mukwonago, WI

Practice location

Address: 250 Wolf Run, Mukwonago, WI 53149-8470
Phone: (262) 363-7500
Fax: (262) 363-2902
Mailing address: 702 SW 8th Street, Bentonville, AR 72716-0235

Authorised official

Name: Linda M. Epperson
Title: Npi Coordinator
Phone: (316) 788-5580

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Wisconsin →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Wisconsin →

Registry record

NPI: 1083796999
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 10 Mar 2025

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.