NPI 1083929277

Wal-Mart Stores INC

Organisation Eyewear Supplier Cornelius, OR

Practice location

Address: 220 N Adair, Cornelius, OR 97113
Phone: (503) 359-9129
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Dianna Painter
Title: Enrollment Specialist
Phone: (479) 277-1238

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oregon →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1083929277
Entity type: Organization
NPI issued: 11 Aug 2010
Record last updated: 11 Aug 2010

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.