Wal-Mart Stores East, LP
Technician/Technologist, Optician in Edgewood, NM. Organization (NPI-2).
NPI number1003085705
StatusActive
Last updated in NPPESSep 1, 2023
Details
- NPI
- 1003085705
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- No
- Enumeration date
- Feb 27, 2008
- Certification date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Vision Center 30-4201 (Doing Business As)
Practice location
66 State Road #344Edgewood, NM 87015
Phone 505-286-3119
Mailing address
702 Sw 8th St.Bentonville, AR 72716-0235
Phone 479-277-9373 · Fax 479-277-8176
Authorized official
David J Simmons
Npi Associate
4792779373
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.