OrganizationActive
Wal-Mart Stores, Inc.
NPI 1902071764 · Optician · Grand Rapids, MI
Wal-Mart Stores, Inc. is a Optician organization in Grand Rapids, MI (NPI 1902071764).
Provider details
- NPI number
- 1902071764
- 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(87/100 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
100 Southeast 29th St.
Grand Rapids, MI 55744
Phone: (218) 326-1101
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-1609
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Frequently asked questions
- What is Wal-Mart Stores, Inc.'s NPI number?
- Wal-Mart Stores, Inc.'s National Provider Identifier (NPI) is 1902071764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores, Inc.?
- Wal-Mart Stores, Inc. is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Wal-Mart Stores, Inc. located?
- Wal-Mart Stores, Inc.'s practice location on file with NPPES is 100 Southeast 29th St., Grand Rapids, MI 55744.
- What is Wal-Mart Stores, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores, Inc. is (218) 326-1101.
- Who is the authorized official for Wal-Mart Stores, Inc.?
- The authorized official listed on Wal-Mart Stores, Inc.'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, Inc.'s NPI active?
- Yes — Wal-Mart Stores, Inc.'s NPI (1902071764) is active in the NPPES registry as of the last update on 2008-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.