NPI 1972941557

Wal-Mart Stores, INC.

Organisation Eyewear Supplier Meridian, ID

Practice location

Address: 795 W Overland Rd, Meridian, ID 83642
Phone: (208) 917-6905
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Deb Lauver
Title: Specialist Plan Enrollment
Phone: (479) 204-8741

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: 1972941557
Entity type: Organization
NPI issued: 5 Jun 2013
Record last updated: 5 Jun 2013

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.