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 1508103078

Wal-Mart Stores Inc is an Optician in Wood River, Illinois. Registered with an NPI since 2013.

In the registry since
2013
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

610 Wesley Dr
Wood River, IL 62095-1894
Phone: (618) 259-1286
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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 number1508103078
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores Inc
Authorized official Amy Powers — Specialist, Plan Enrollment · (479) 204-0709
Other names Wal-Mart Vision Center 30-1071
NPI enumeratedJanuary 3, 2013
Last updated in NPPESJanuary 3, 2013
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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