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Wal-Mart Stores, Inc.

Organization Active NPI Optician · Harvard, IL

NPI 1871756239 · NPPES record last updated Jul 7, 2008

Key facts

NPI
1871756239
Entity type
Organization (NPI type 2)
Primary specialty
Optician 156FX1800X
Legal business name
WAL-MART STORES, INC.
Practice address
21101 McGuire Rd
Harvard, IL 60033-8358
Phone
(815) 943-4331
NPI assigned
Jul 7, 2008
Organization subpart
No

Authorized official

Name
David J. Simmons
Title
Npi Associate
Phone
(479) 277-9373

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 Yes
Eyewear Supplier 332H00000X

Addresses

Primary practice location

21101 McGuire Rd
Harvard, IL 60033-8358

Mailing address

702 SW 8TH St.
Bentonville, AR 72716-0235
Phone (479) 277-9373

Other names

  • Vision Center 30-1211 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 Jul 7, 2008.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1871756239",
    "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": "727160235",
            "telephone_number": "479-277-9373",
            "fax_number": "479-277-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21101 MCGUIRE RD",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600338358",
            "telephone_number": "815-943-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NPI ASSOCIATE",
        "authorized_official_telephone_number": "479-277-9373"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center 30-1211",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvard, IL

All providers in Harvard, IL · Optician in Illinois

Sources for this page

Verify at the official NPI Registry.