Wal-Mart Stores, Inc.
Organization Active NPI Eyewear Supplier · Kerman, CA
NPI 1609214337 · NPPES record last updated Jun 5, 2013
Key facts
- NPI
- 1609214337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES, INC.
- Practice address
- 14061 W Whitesbridge Ave
Kerman, CA 93630 - Phone
- (479) 273-4885
- NPI assigned
- Jun 4, 2013
- Organization subpart
- No
Authorized official
- Name
- Laura Levine
- Title
- Manager of Goverment Contracting
- Phone
- (479) 204-8550
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Ability Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
14061 W Whitesbridge Ave
Kerman, CA 93630
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Other names
- Wal-Mart Vision Center 30-5701
NPI Registry JSON
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1609214337",
"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": "14061 W WHITESBRIDGE AVE",
"city": "KERMAN",
"state": "CA",
"postal_code": "93630",
"telephone_number": "479-273-4885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-04",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MANAGER OF GOVERMENT CONTRACTING",
"authorized_official_telephone_number": "479-204-8550"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wal-Mart Vision Center 30-5701",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kerman, CA
- Katharine Diane Van Winkle
- Lina See Vang
- Emily Vargas
- Elisa Chavez Vasquez
- Thomas Hoang Vu
- Walmart Inc.
- Yi Wang
- Howard Andrew Wascher
- Kia Yang
- Richard Bluanu Yang
All providers in Kerman, CA · Eyewear Supplier in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2013. 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.