Wal-Mart Stores Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

WAL-MART STORES INC

Doing business as

Vision Center 30-4221

Practice address

220 N Adair
Cornelius, OR 97113

Phone

(503) 359-9129

NPI assigned

Aug 11, 2010

Last updated

Aug 11, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dianna Painter

Title

Enrollment Specialist

Phone

(479) 277-1238

Specialties & licenses 2

Addresses

Other names 1

• Vision Center 30-4221 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1083929277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N ADAIR",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "97113",
            "telephone_number": "503-359-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "479-277-1238"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center 30-4221",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nohemi Vigil
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• Walgreen Co (Walgreens #09353)
• Walmart Inc. (Walmart Pharmacy 10-4221)
• Mary Catherine Wasson, R.N.
• Luke Wilson
• Cynthia Winsor-Mercurio, RD

• Eyewear Supplier in Cornelius, OR
• Providers in Cornelius, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.