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Wal-mart Stores, Inc
Eyewear Supplier in Kankakee, Illinois
NPI 1104294065

Wal-mart Stores, Inc is a Eyewear Supplier based in Bentonville, IL. Wal-mart Stores, Inc practices in Kankakee, IL. The NPI Number for Wal-mart Stores, Inc is 1104294065 and holds a License No. (Illinois).

The current practice location address for Wal-mart Stores, Inc is 505 Riverstone Pkwy, Kankakee, IL and can be reached out via phone at 479-204-8550 and via fax at 479-277-4331.

Location: 505 Riverstone Pkwy, Kankakee, IL, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104294065
Provider Name
Wal-mart Stores, Inc
Credential
Provider Entity Type
Organization
Address
505 Riverstone Pkwy, Kankakee, IL, 72716-0445
Phone Number
479-204-8550
Fax Number
479-277-4331
Provider Enumeration Date
09/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 Riverstone Pkwy
City
Kankakee
State
Illinois
Zip
60901-7207
Phone Number
479-204-8550
Fax Number
479-277-4331
person
Provider Business Mailing Address Details
Address
505 Riverstone Pkwy
City
Kankakee
State
Illinois
Zip
60901-7207
Phone Number
479-204-8550
Fax Number
479-277-4331
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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