WAL-MART STORES EAST LP (NPI# 1053620351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053620351 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | VISION CENTER 30-4456 |
| Practice Address |
1 Coopertown Blvd Somersdale NJ 08083 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0445 |
| Practice Telephone | 8565459057 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-4456 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
1 COOPERTOWN BLVD |
| City | SOMERSDALE |
| State | NJ |
| Zip Code | 08083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336344548 | Diana Neal Juelg | Nurse Practitioner | 22 E. Evergreen Avenue, Somerdale, NJ 08083 | 2007-06-18 |
| 1598890295 | Shawn Thomas Klenk | Specialist/Technologist | 102 Rex Rd., Somerdale, NJ 08083 | 2007-02-22 |
| 1588741870 | John Raymond Tocco | Specialist | 701 W. Somerdale Road, Somerdale, NJ 08083 | 2006-11-01 |
| 1245218163 | Diana L Scott | Obstetrics & Gynecology | 1 Somerdale Sq, Somerdale, NJ 08083 | 2006-01-03 |
| 1013552702 | Integrity Family Solutions | Community/Behavioral Health | 104 Kennedy Blvd, Somerdale, NJ 08083-1019 | 2019-11-17 |
| 1649373978 | Vijay K Kalola | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-05 |
| 1639260896 | Primary Care Affiliates of Nj, Pa | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-27 |
| 1932203171 | Jayesh Patel | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-08 |
| 1295727642 | Alan D Budman | Podiatrist | 301 E Somerdale Rd, Somerdale, NJ 08083-1107 | 2005-08-19 |
| 1124075643 | Alan D. Budman | Podiatrist | 301 E Somerdale Rd, Somerdale, NJ 08083-1107 | 2006-05-29 |
| Find all providers in zip 08083 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555657 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2451 Route 1, North Brunswick, NJ 08902-4328 | 2020-10-10 |
| 1629676861 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 321 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2834 | 2020-10-10 |
| 1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
| 1518574847 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Marketplace Blvd, Hamilton, NJ 08691-2100 | 2020-09-30 |
| 1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
| 1174130918 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Route 23 N, Riverdale, NJ 07457 | 2020-09-25 |
| 1265049134 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 30 S State Rt 17, Paramus, NJ 07652-2645 | 2020-09-25 |
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1437765989 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 (northbound), E. Rutherford, NJ 07073 | 2020-09-21 |
| 1932715521 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1904 Route 35, Oakhurst, NJ 07755-2715 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | SOMERSDALE |
| Zip Code | 08083 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST LP.
| 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.