Wal-Mart Stores, INC. Dba Wal-Mart
Eyewear Supplier (Equipment, not the service) in Evergreen, CO. Organization (NPI-2).
NPI number1306977533
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1306977533
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores, INC. Dba Wal-Mart
- Organization subpart
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Vision Center 30-2293 (Doing Business As)
Practice location
952 Swede Gulch RdEvergreen, CO 80401-9713
Phone 303-526-0534
Mailing address
702 Sw 8th StreetBentonville, AR 72716-2035
Phone 479-277-9373 · Fax 479-277-8176
Authorized official
David J. Simmons
Npi Associate
4792779373
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