OrganizationActive
Wal-Mart Stores, Inc.
NPI 1861626772 · Optician · Jefferson City, MO
Provider details
- NPI number
- 1861626772
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Holly Wilkinson, Carrier Specialist(479) 204-8320
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Practice location
401 Supercenter Dr
Jefferson City, MO 65101-8190
Phone: (573) 635-3535
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-5477
Registry dates
- Enumerated
- 2009-05-06
- Last updated
- 2009-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.