NPI 1336318393

Wal-Mart Stores East, LP

Organisation Optician Bernalillo, NM

Practice location

Address: 460 Nm Highway #528, Bernalillo, NM 87004
Phone: (505) 771-4883
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: 1336318393
Entity type: Organization
NPI issued: 25 Feb 2008
Record last updated: 25 Feb 2008

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.