Active NPI
Wal-Mart Stores, Inc.
- Eyewear Supplier
- Le Mars, IA
National Provider Identifier
1922189059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WAL-MART STORES, INC.
- Practice address
- 1111 Holton Dr
Le Mars, IA 51031-2884 - Phone
- (712) 546-4900
- NPI assigned
- Oct 17, 2006
- 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
1111 Holton Dr
Le Mars, IA 51031-2884
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Vision Center 30-1625
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Eyewear Supplier
- Grimes, IA
- NPI 1891000147
-
- Eyewear Supplier
- Newton, IA
- NPI 1982785143
-
- Eyewear Supplier
- Ames, IA
- NPI 1831637818
-
- Eyewear Supplier
- Sioux Center, IA
- NPI 1891166294
-
- Eyewear Supplier
- Creston, IA
- NPI 1932280062
-
- Eyewear Supplier
- Ankeny, IA
- NPI 1942381835
-
- Eyewear Supplier
- Dubuque, IA
- NPI 1972684017
-
- Eyewear Supplier
- Mason City, IA
- NPI 1982785150
-
- Community/Retail Pharmacy
- Grinnell, IA
- NPI 1831116326
-
- Community/Retail Pharmacy
- Fort Dodge, IA
- NPI 1841217221
-
- Community/Retail Pharmacy
- Ames, IA
- NPI 1841472578
-
- Community/Retail Pharmacy
- Iowa City, IA
- NPI 1902823388
Locations
1111 Holton Dr
Le Mars, IA 51031
Phone (712) 546-5150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1922189059",
"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": "1111 HOLTON DR",
"city": "LE MARS",
"state": "IA",
"postal_code": "510312884",
"telephone_number": "712-546-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"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 30-1625",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Le Mars, IA
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.