WAL-MART STORES, INC. - NPI 1144323635 - Eyewear Supplier in Pueblo West, CO

Q: What is the provider's specialty?

The provider's specialty is Eyewear Supplier with taxonomy code 332H00000X.

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About Wal-mart Stores, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART STORES, INC. (NPI 1144323635), doing business as Vision Center 30-3382, is a healthcare organization registered as an eyewear supplier in Pueblo West, Colorado and active in the NPI registry since September 2006. The organization lists Tammy J Boyd, Contract Coordinator, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1144323635

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART STORES, INC.

Location Address78 N MCCULLOCH BLVDPueblo West, CO 81007-4444

Mailing Address702 Sw 8th StBentonville, AR 72716-0235

Phone(719) 647-9963

Organization SubpartNo

Authorized OfficialTammy J BoydContract Coordinator · (479) 277-1359

Enumeration DateSeptember 7, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1144323635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X

78 N MCCULLOCH BLVD, Pueblo West, CO 81007

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Other Names 1

Doing Business AsVision Center 30-3382

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP