WAL-MART STORES EAST, L.P. (NPI# 1033240429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033240429 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, L.P. |
| Other Organization Name | VISION CENTER 30-1714 |
| Practice Address |
1 Tygart Valley Mall Fairmont WV 26554-3430 |
| Mailing Address |
702 Sw 8th Street Bentonvillle AR 72716-0235 |
| Practice Telephone | 3043630832 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID J. SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| 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 30-1714 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164623419 | Wal-mart Stores East, L.p. | Technician/Technologist | 1274 E. 2nd St., Franklin, OH 45005 | 2007-05-31 |
| 1992836498 | Wal-mart Stores East, L.p. | Technician/Technologist | 805 Us 275, Cynthiana, KY 41031 | 2007-03-08 |
| 1508997024 | Wal-mart Stores East, L.p. | Technician/Technologist | 200 Kocher Lane, Elizabethville, PA 17023 | 2007-03-08 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| 1720119233 | Wal-mart Stores East, L.p. | Technician/Technologist | 201 Chamber Drive, Milford, OH 45150 | 2007-03-08 |
| 1518098011 | Wal-mart Stores East, L.p. | Technician/Technologist | 100 Valley Parkway, Northbridge, MA 01588 | 2007-03-08 |
| 1821129321 | Wal-mart Stores East, L.p. | Technician/Technologist | 1114 Newpoint Blvd, Leland, NC 28451 | 2007-03-08 |
| 1922139344 | Wal-mart Stores East, L.p. | Technician/Technologist | 4928 State Rd. 674, Ruskin, FL 33598 | 2007-03-08 |
| 1013048529 | Wal-mart Stores East, L.p. | Eyewear Supplier (Equipment, not the service) | 965 Broadhollow Rd, Farmingdale, NY 11735 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | WAL-MART STORES EAST, L.P. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Connecticut Business Registrations | WAL-MART STORES EAST, LIMITED PARTNERSHIP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Washington State Corporations | WAL-MART STORES EAST, LP | 708 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WAL-MART STORES EAST, LP, A LIMITED PARTNERSHIP OF DELAWARE | 708 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
1 TYGART VALLEY MALL |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1801968482 | Midwest Vision Centers Inc | Technician/Technologist | 288 S State St, Fairmont, MN 56031-4151 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
| 1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
| 1871763862 | Wayne Dougherty Dba Wheeling Optical | Technician/Technologist | 1101 Market Street, Wheeling, WV 26003-2905 | 2008-03-05 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1588711873 | Melvin Leroy Mckinney Sr. | Technician/Technologist | 605 Bland St, Bluefield, WV 24701 | 2007-01-05 |
| 1922178474 | Tea Vision Inc | Technician/Technologist | 5 Putnam Villiage, Teays, WV 25569 | 2006-11-09 |
| 1356410849 | Jennifer L Field | Technician/Technologist | 10565 Veterans Memorial Highway, Masontown, WV 26542-9577 | 2006-11-07 |
| 1598841827 | Wal-mart Stores East, Lp | Technician/Technologist | 6051 University Town Centre Dr., Morgantown, WV 26534 | 2006-10-30 |
| 1235210212 | Wal-mart Stores East, Lp | Technician/Technologist | 1881 Robert C Byrd Dr, Beckley, WV 25801-8355 | 2006-10-18 |
| 1972690311 | Rebecca A. Lake | Technician/Technologist | 612 Rosebud Plz, Clarksburg, WV 26301-9386 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
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| 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.