NPI 1003085705

Wal-Mart Stores East, LP

Organisation Optician Edgewood, NM

Practice location

Address: 66 State Road #344, Edgewood, NM 87015
Phone: (505) 286-3119
Mailing address: 702 SW 8th St., Bentonville, AR 72716-0235

Authorised official

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

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in New Mexico →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in New Mexico →

Registry record

NPI: 1003085705
Entity type: Organization
NPI issued: 27 Feb 2008
Record last updated: 1 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.