NPIMap

Wal-Mart Stores East, LP

Organization Active NPI Optician · Somers, WI

NPI 1386872059 · NPPES record last updated Jul 1, 2009

Key facts

NPI
1386872059
Entity type
Organization (NPI type 2)
Primary specialty
Optician 156FX1800X
Legal business name
WAL-MART STORES EAST, LP
Practice address
3500 Brumback Blvd
Somers, WI 53144
Phone
(262) 652-1039
NPI assigned
Jul 1, 2009
Organization subpart
No

Authorized official

Name
Holly C Wilkinson
Title
Carrier Specialist
Phone
(479) 204-8320

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ability Network (4,651 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 156FX1800X Yes
Eyewear Supplier 332H00000X

Addresses

Primary practice location

3500 Brumback Blvd
Somers, WI 53144

Mailing address

702 SW 8TH Street
Bentonville, AR 72716-0235

Other names

  • Vision Center 30-1167 Doing business as

Other providers in Somers, WI

All providers in Somers, WI · Optician in Wisconsin

Sources for this page

Verify at the official NPI Registry.