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Wal-mart Stores, Inc
Eyewear Supplier in Mattoon, Illinois
NPI 1326121559

Wal-mart Stores, Inc is a Eyewear Supplier based in Bentonville, IL. Wal-mart Stores, Inc practices in Mattoon, IL. The NPI Number for Wal-mart Stores, Inc is 1326121559 and holds a License No. (Illinois).

The current practice location address for Wal-mart Stores, Inc is 101 Dettro Dr, Mattoon, IL and can be reached out via phone at 217-234-2266.

Location: 101 Dettro Dr, Mattoon, IL, 72716-0235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326121559
Provider Name
Wal-mart Stores, Inc
Credential
Provider Entity Type
Organization
Address
101 Dettro Dr, Mattoon, IL, 72716-0235
Phone Number
217-234-2266
Fax Number
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Dettro Dr
City
Mattoon
State
Illinois
Zip
61938-9044
Phone Number
217-234-2266
Fax Number
person
Provider Business Mailing Address Details
Address
101 Dettro Dr
City
Mattoon
State
Illinois
Zip
61938-9044
Phone Number
217-234-2266
Fax Number
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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