NPI 1326229253

Wal-Mart Stores, INC

Organisation Optician Crystal Lake, IL

Practice location

Address: 1205 S Route 31, Crystal Lake, IL 60014
Phone: (815) 477-4053
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: David J Simmons
Title: Npi Associate
Phone: (479) 277-9373

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Illinois →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Illinois →

Registry record

NPI: 1326229253
Entity type: Organization
NPI issued: 20 Nov 2007
Record last updated: 20 Nov 2007

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.