Active NPI
Wal-Mart Stores Inc.
Doing business as Vision Center 30-4713
- Optician
- Bentonville, AR
National Provider Identifier
1194970244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- WAL-MART STORES INC.
- Doing business as
- Vision Center 30-4713
- Practice address
- 702 SW 8TH St
Bentonville, AR 72716-6209 - Phone
- (479) 204-8932
- NPI assigned
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sonya M Hurd
- Title
- Contract Coordinator
- Phone
- (479) 204-8932
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
702 SW 8TH St
Bentonville, AR 72716-6209
Mailing address
702 SW 8TH St
Bentonville, AR 72716-6209
Other names 1
- Vision Center 30-4713
National Provider Directory
National Provider Directory- Tax ID family
- Sams East
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1194970244",
"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": "727166209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727166209",
"telephone_number": "479-204-8932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "HURD",
"authorized_official_first_name": "SONYA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CONTRACT COORDINATOR",
"authorized_official_telephone_number": "479-204-8932",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Center 30-4713",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bentonville, AR
- May Youa Vue, LPC
- Wal Mart Stores, Inc (Wal-Mart Optical Home Office)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-3212)
- Wal-Mart Stores East, LP (Wal-Mart Optical Home Office)
- Wal-Mart Stores East, LP (Walmart pharmacy 10-3164)
- Wal-Mart Stores Texas, LLC (Walmart pharmacy 10-3164)
- Wal-Mart Stores Texas, LP (Wal-Mart Optical Home Office)
- Wal-Mart Stores, Inc. (Vision Center 30-0100)
- Wal-Mat Stores Texas, LLC (Walmart Pharmacy 10-3164)
- Tessa Walburn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.