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Wal-Mart Stores, Inc. — NPI 1861626772, Jefferson City, MO | NPI Central

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NPI 1861626772

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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

OpticianPrimary156FX1800X
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

More MO providers

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.