NPI 1831567353

Wal-Mart Stores, INC.

Organisation Eyewear Supplier Meridian, ID

Practice location

Address: 5001 N Ten Mile Rd, Meridian, ID 83646-6515
Phone: (208) 982-3050
Fax: (208) 888-2271
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Deb Lauver
Title: Specialist Plan Enrollment
Phone: (479) 258-2115

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Idaho →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Idaho →

Registry record

NPI: 1831567353
Entity type: Organization
NPI issued: 15 Sep 2015
Record last updated: 6 Oct 2015

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.