NPI 1508929696

Wal-Mart Stores INC.

Organisation Eyewear Supplier Puyallup, WA

Practice location

Address: 16502 Meridian Ave. E., Puyallup, WA 98375
Phone: (253) 446-1760
Mailing address: 702 SW 8th St., Bentonville, AR 72716-0235

Authorised official

Name: Bj Rice
Title: Provider Enrollment Specialist
Phone: (479) 277-9835

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Washington →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Washington →

Registry record

NPI: 1508929696
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 11 Sep 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.