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NPI 1003085705

OrganizationActive

Wal-Mart Stores East, Lp

NPI 1003085705 · Optician · Edgewood, NM

Provider details

NPI number: 1003085705
Entity type: Organization
Primary specialty: OpticianEye and Vision Services Providers
Authorized official: David Simmons, Npi Associate

Practice location

66 State Road #344

Edgewood, NM 87015

Phone: (505) 286-3119

More NM providers

Mailing address

702 Sw 8th St.

Bentonville, AR 72716-0235

Registry dates

Enumerated: 2008-02-27
Last updated: 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.

Wal-Mart Stores East, Lp — NPI 1003085705, Edgewood, NM | NPI Central