Active NPI
Wal-Mart Store, Inc.
Doing business as Vision Center 30-4321
- Optician
- Wichita, KS
National Provider Identifier
1952570657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- WAL-MART STORE, INC.
- Doing business as
- Vision Center 30-4321
- Practice address
- 5475 N. Meridian
Wichita, KS 67204 - Phone
- (316) 831-9516
- NPI assigned
- Feb 27, 2008
- Last updated
- Feb 27, 2008
- 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
- David J Simmons
- Title
- Npi Associate
- Phone
- (479) 277-9373
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | ||
| Optician | 156FX1800X | NU | Primary |
Addresses
Primary practice location
5475 N. Meridian
Wichita, KS 67204
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0235
Phone (479) 277-9373
Other names 1
- Vision Center 30-4321
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
5475 N Meridian Ave
Wichita, KS 67204
Phone (316) 831-9057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1952570657",
"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": "5475 N. MERIDIAN",
"city": "WICHITA",
"state": "KS",
"postal_code": "67204",
"telephone_number": "316-831-9516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"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": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Center 30-4321",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wichita, KS
- Elizabeth Waite
- Alexis Wakeham, PTA
- Christina Marie Wakeman, LAC-ST
- Antoine E Wakim, DDS
- Wal-Mart Pharmacy
- Wal-Mart Stores Inc (Wal-Mart Pharmacy 10-5856)
- Wal-Mart Stores, Inc. (Vision Center 30-1221)
- Wal-Mart Stores, Inc. (Vision Center 30-1099)
- Wal-Mart Stores, Inc.
- Wal-Mart Stores, Inc. (Vision Center 30-3492)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.