Active NPI
Wal-Mart Stores, Inc.
Doing business as Vision Center 30-1500
- Eyewear Supplier
- Watertown, SD
National Provider Identifier
1740363092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WAL-MART STORES, INC.
- Doing business as
- Vision Center 30-1500
- Practice address
- 1201 29TH St SE
Watertown, SD 57201-9179 - Phone
- (605) 882-0801
- NPI assigned
- Oct 23, 2006
- Last updated
- Sep 11, 2025
- 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
- Linda M. Epperson
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1201 29TH St SE
Watertown, SD 57201-9179
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Vision Center 30-1500
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 20
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Walmart Vision Center 30-2443
- Eyewear Supplier
- Sioux Falls, SD
- NPI 1376902510
-
dba Wal-Mart Vision Center 30-4865
- Eyewear Supplier
- Sioux Falls, SD
- NPI 1568879419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1740363092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH STREET",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 29TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572019179",
"telephone_number": "605-882-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "EPPERSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "NPI COORDINATOR",
"authorized_official_telephone_number": "316-788-5580"
},
"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": "Vision Center 30-1500",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.