WAL-MART STORES, INC. (NPI# 1003998055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003998055 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-1221 |
| Practice Address |
6110 W Kellogg Dr Wichita KS 67209-2361 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3169452800 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (NPI COORDINATOR) |
| Authorized Official Telephone | 3167885580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-1221 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
6110 W KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316913080 | Melissa Ramos Keusler | Optometrist | 6110 W Kellogg Dr, Wichita, KS 67209-2361 | 2006-02-23 |
| 1518455088 | Bailie Burke | Pharmacist | 6110 W Kellogg Dr, Wichita, KS 67209-2350 | 2018-04-30 |
| 1487194965 | Walmart | Pharmacy | 6110 W Kellogg Dr, Pharmacy, Wichita, KS 67209-2361 | 2017-03-02 |
| 1427432202 | Mishawn Audrain | Pharmacist | 6110 W Kellogg Dr, Wichita, KS 67209-2361 | 2015-07-12 |
| 1285028852 | David A. Wells | Pharmacist | 6110 W Kellogg Dr, Wichita, KS 67209-2361 | 2015-03-23 |
| 1386661783 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 6110 W Kellogg Dr, Wichita, KS 67209-2361 | 2006-07-16 |
| 1831145010 | Melissa R Keusler, Od, Pa | Optometrist | 6110 W Kellogg Dr, Suite #1, Wichita, KS 67209-2361 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215385026 | Matthew King | Technician/Technologist | 7223 E Chelsea St, Wichita, KS 67206-1042 | 2016-06-02 |
| 1629425731 | Marcia Renee Little | Technician/Technologist | 942 S Oliver St, Wichita, KS 67218-3216 | 2016-05-18 |
| 1083884647 | Ryan Jay Storey | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2008-03-10 |
| 1477605780 | Michael Glenn Melton | Technician/Technologist | 1016 W 29th St S, Wichita, KS 67217-3114 | 2007-01-17 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1346321973 | The Spectacle Shoppe, Inc. | Technician/Technologist | 306 N Rock Rd, Ste 10, Wichita, KS 67206-2256 | 2006-10-18 |
| 1679917595 | Martin Verl Pickering | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2013-04-22 |
| 1023249513 | Jacob T Reese | Technician/Technologist | 610 N Main St, Wichita, KS 67203-3601 | 2009-07-31 |
| 1275762940 | Sapphire Marie Garcia | Technician/Technologist | 245 N Hillside St, Wichita, KS 67214-4903 | 2009-07-02 |
| 1285719872 | Wal-mart Stores, Inc. | Technician/Technologist | 10600 W 21st St N, Wichita, KS 67205-1886 | 2006-10-25 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on WAL-MART STORES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.