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

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

National Provider Directory

Tax ID family
Ability Network (2,173 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
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 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2013.

{
    "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

All providers in Kerman, CA · Eyewear Supplier in California

Sources for this page

Verify at the official NPI Registry.