NPI 1417105701

Wal-Mart Stores, INC.

Organisation Optician Omaha, NE

Practice location

Address: 1606 South 72nd Street, Omaha, NE 68124
Phone: (402) 393-9576
Mailing address: 702 SW 8th St., Bentonville, AR 72716-0235

Authorised official

Name: Sabrina Sutton
Title: Npi Associate
Phone: (479) 277-1175

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Nebraska →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Nebraska →

Registry record

NPI: 1417105701
Entity type: Organization
NPI issued: 29 Aug 2008
Record last updated: 29 Aug 2008

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.