Wal-Mart Stores East, LP
NPI 1003085705ActiveOrganization· Technician/Technologist, Optician· Edgewood, NM
Technician/Technologist, Optician in Edgewood, New Mexico, registered in NPPES in February 2008. The authorized official on file is David J. Simmons, Npi Associate.
Overview
| NPI | 1003085705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2008 |
| Last updated in NPPES | Sep 1, 2023 |
| Certified by provider | Sep 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|