Wal-Mart Stores East, LP
Organization Active NPI Optician · Edgewood, NM
NPI 1003085705 · NPPES record last updated Sep 1, 2023
Key facts
- NPI
- 1003085705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- Legal business name
- WAL-MART STORES EAST, LP
- Practice address
- 66 State Road #344
Edgewood, NM 87015 - Phone
- (505) 286-3119
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
Authorized official
- Name
- David J Simmons
- Title
- Npi Associate
- Phone
- (479) 277-9373
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Ability Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | Yes | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
66 State Road #344
Edgewood, NM 87015
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0235
Phone (479) 277-9373
Other names
- Vision Center 30-4201
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Edgewood, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.