Wal-Mart Stores, INC
Eyewear Supplier (Equipment, not the service) in Wood River, IL. Organization (NPI-2).
NPI number1679654792
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1679654792
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores, INC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Vision Center 30-1071 (Doing Business As)
Practice location
1501 Vaughn RdWood River, IL 62095-1855
Phone 618-259-0290
Mailing address
702 Sw 8th StBentonville, AR 72716-0235
Authorized official
Nicole D Gentile
Npi Coordinator
3167885580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Eyewear Supplier providers in Wood River, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.