P Praxis·MD
● Active Type 2 · Organization

Wal-Mart Stores Inc

Eyewear Supplier·Hayden, ID· NPI 1750696951 · Enumerated 2010 · 15 years on NPI
Wal-Mart Stores Inc is 1 of 74 eyewear supplier organizations in Idaho.
NPI age
15 years
Enumerated 2010-08-11
Primary specialty
Eyewear Supplier
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Painter
Enrollment Specialist
Last NPPES update
2010-08-11
Source: monthly bulk 2026-05

How this organization compares

Across 74 active eyewear supplier providers in Idaho.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 43% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
402 W Honeysuckle Ave
Hayden, ID 83835
📞 2082094078
Mailing address
702 Sw 8th St.
Bentonville, AR 727160445

Authorized official

Dianna Painter
Enrollment Specialist
📞 4792771238

Specialties

  • Eyewear Supplier Primary
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    taxonomy 332H00000X
  • Technician/Technologist
    Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
    taxonomy 156FX1800X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Vision Center 30-3511
    Type code 3 recorded 2010-08-11

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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