Organization Active NPI

Walman Optical Company

  • Eyewear Supplier
  • Brooklyn Park, MN
National Provider Identifier
1467501718
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WALMAN OPTICAL COMPANY
Practice address
9200 Wyoming Ave N
Brooklyn Park, MN 55445-1857
Phone
(763) 515-5590
Fax
(763) 515-5592
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Bryan Schueler
Title
Vice President and General Manager
Phone
(612) 520-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

9200 Wyoming Ave N
Brooklyn Park, MN 55445-1857

Mailing address

9200 Wyoming Ave N
Brooklyn Park, MN 55445-1857
Phone (763) 515-5590

National Provider Directory

National Provider Directory
Tax ID family
Walman Optical Company7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

9200 Wyoming Ave N
Brooklyn Park, MN 55445
Phone (763) 515-5590

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1467501718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WYOMING AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451857",
            "telephone_number": "763-515-5590",
            "fax_number": "763-515-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WYOMING AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451857",
            "telephone_number": "763-515-5590",
            "fax_number": "763-515-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMAN OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "SCHUELER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT AND GENERAL MANAGER",
        "authorized_official_telephone_number": "612-520-6000"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.