Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores, Inc

Organization Optician · NPI 1104294065

Wal-Mart Stores, Inc is an Optician in Kankakee, Illinois. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 Riverstone Pkwy
Kankakee, IL 60901-7207
Phone: (479) 204-8550
Fax: (479) 277-4331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1104294065
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores, Inc
Authorized official Laura Levine — Director · (479) 204-8550
Other names Walmart Vision Center 30-4323
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 11, 2015
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445