Active NPI
Wal-Mart Stores, Inc.
Doing business as Vision Center 30-3842
- Eyewear Supplier
- Macedon, NY
National Provider Identifier
1801011366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WAL-MART STORES, INC.
- Doing business as
- Vision Center 30-3842
- Practice address
- 425 RT 31
Macedon, NY 14502 - Phone
- (315) 986-7207
- NPI assigned
- Apr 17, 2007
- 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
- Mrs. Norma B Smith
- Title
- Npi Associate
- Phone
- (479) 277-1703
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary | ||
| Optician | 156FX1800X |
Addresses
Primary practice location
425 RT 31
Macedon, NY 14502
Mailing address
702 SW 8TH St
Bentonville, AR 72716-6209
Other names 1
- Vision Center 30-3842
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Ownership & related parties
Subparts reporting this organization as parent 19
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Wal-Mart Vision Center 30-2210
- Eyewear Supplier
- Amherst, NY
- NPI 1033223912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1801011366",
"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": "727166209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 RT 31",
"city": "MACEDON",
"state": "NY",
"postal_code": "14502",
"telephone_number": "315-986-7207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "NPI ASSOCIATE",
"authorized_official_telephone_number": "479-277-1703",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Center 30-3842",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Macedon, NY
- Robert Nelson Verkey, P.T., D.P.T.
- Victor Acupuncture, PLLC (Longevity Complementary Care Center)
- Village of Macedon
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3842)
- Wal-Mart Stores, East, LP (Vision Center 30-3842)
- Jason A Wargo, LPN
- Cheryl E Weaver, OTR
- John Wehrle, MD
- Andrea Lynn West I, OT
- Susan Marie Wolfe
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.