OrganizationActive
Wal-Mart Stores East, Lp
NPI 1003085705 · Optician · Edgewood, NM
Wal-Mart Stores East, Lp is a Optician organization in Edgewood, NM (NPI 1003085705).
Provider details
- NPI number
- 1003085705
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- David Simmons, Npi Associate(479) 277-9373
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
66 State Road #344
Edgewood, NM 87015
Phone: (505) 286-3119
Street-level locationGet directions
Mailing address
702 Sw 8th St.
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-4201
- Doing business as
- Vision Center 30-4201
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Wal-Mart Stores East, Lp's NPI number?
- Wal-Mart Stores East, Lp's National Provider Identifier (NPI) is 1003085705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores East, Lp?
- Wal-Mart Stores East, Lp is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Wal-Mart Stores East, Lp located?
- Wal-Mart Stores East, Lp's practice location on file with NPPES is 66 State Road #344, Edgewood, NM 87015.
- What is Wal-Mart Stores East, Lp's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores East, Lp is (505) 286-3119.
- Who is the authorized official for Wal-Mart Stores East, Lp?
- The authorized official listed on Wal-Mart Stores East, Lp's NPPES record is David Simmons, Npi Associate. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores East, Lp's NPI active?
- Yes — Wal-Mart Stores East, Lp's NPI (1003085705) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.