OrganizationActive
Wal-Mart Stores East, L.p.
NPI 1417088857 · Eyewear Supplier · Gorham, NH
Provider details
- NPI number
- 1417088857
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- David Simmons, Npi Associate(479) 277-9373
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
551 Main St
Gorham, NH 03581-4901
Phone: (603) 752-2589
Street-level locationGet directions
Mailing address
702 Sw 8th Street
Bentonvillle, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-2634
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.