WAL-MART STORES EAST, LP (NPI# 1073988523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073988523 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | WALMART VISION CENTER 30-4497 |
Practice Address |
1007 Red Farmer Dr Hueytown AL 35023-1886 |
Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
Practice Telephone | 2053075752 |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-09 |
Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACT & ENROLL) |
Authorized Official Telephone | 4792048550 |
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 |
---|---|
Walmart Vision Center 30-4497 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
1184156317 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 270 Heald Way, The Villages, FL 32163-6003 | 2017-03-28 |
1730611971 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 4401 Poole Rd., Raleigh, NC 27603-0000 | 2017-03-28 |
1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
1760933196 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 1705 S Kings Hwy, Myrtle Beach, SC 29577-4601 | 2016-10-20 |
1700335312 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 3045 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-0000 | 2016-09-23 |
1619425683 | Wal-mart Stores East, Lp | Technician/Technologist | 11930 Narcoossee Road, Orlando, FL 32832-0000 | 2016-09-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
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 |
1007 RED FARMER DR |
City | HUEYTOWN |
State | AL |
Zip Code | 35023-1886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518114321 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1007 Red Farmer Dr, Hueytown, AL 35023-1886 | 2008-08-22 |
1508222399 | Idenica Eyecare, LLC | Optometrist | 1007 Red Farmer Dr, Hueytown, AL 35023-1886 | 2016-01-08 |
1891163119 | Jing Chen | Pharmacist | 1007 Red Farmer Dr, Hueytown, AL 35023-1886 | 2015-09-02 |
1316387210 | Latesha Walker | Optometrist | 1007 Red Farmer Dr, Hueytown, AL 35023-1886 | 2013-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497023543 | Ashley Plott | Pharmacist | 3025 Allison Bonnett Memorial Drive, Hueytown, AL 35023 | 2011-12-05 |
1710260542 | Robert W Hill | Registered Nurse | 2825 N 19th St, Hueytown, AL 35023 | 2011-09-28 |
1013045426 | Steven Robinson D.m.d.,p.c. | Dentist | 120 Brooklane Drive, Hueytown, AL 35023 | 2007-02-28 |
1942365036 | Bobby Lee Raygan Jr. | Dentist | 115 Forest Road, Hueytown, AL 35023 | 2006-12-27 |
1558446955 | John W Duke Dmd Pa | Dentist | 111 Forest Road, Hueytown, AL 35023 | 2006-10-25 |
1396837118 | Thomas H Patterson | Dentist | 3098 Allison Bonnett Memorial Drive, Hueytown, AL 35023 | 2006-09-29 |
1124125125 | Rebecca Ann Dennis | Pharmacist | 104 River Square Plaza, Hueytown, AL 35023 | 2006-09-20 |
1417050238 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 3022 Allison Bonnett Dr, Hueytown, AL 35023 | 2006-09-07 |
1558393587 | Freds Stores of Tennessee Inc | Pharmacy | 3056 Allison Bonnett, Hueytown, AL 35023 | 2006-07-07 |
1962980003 | Integrity Sitters LLC | Nursing Care | 704 Coalfire Ave, Hueytown, AL 35023 | 2018-07-31 |
Find all providers in zip 35023 |
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 |
---|---|---|---|---|
1861573313 | Rhodes Optical & Hearing, Inc | Eyewear Supplier (Equipment, not the service) | 3014 Allison Bonnett Memorial Dr, Suite 116, Hueytown, AL 35023-2392 | 2006-10-18 |
1497908404 | Rhodes Optical & Hearing Inc. | Eyewear Supplier (Equipment, not the service) | 3014 Allison Bonnett Memorial Dr, Suite 116, Hueytown, AL 35023 | 2008-11-04 |
1417000225 | Eyecare Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 3099 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2261 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043834492 | Ajs Industries Inc | Eyewear Supplier (Equipment, not the service) | 3922 Us Highway 80 W Ste A, Phenix City, AL 36870-6514 | 2020-06-02 |
1699249672 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1627 Opelika Rd, Auburn, AL 36830-2871 | 2019-01-14 |
1174011209 | Pinnacle Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1900 Crestwood Blvd Ste 100, Irondale, AL 35210-2056 | 2018-04-24 |
1598282816 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1821 2nd Ave N, Birmingham, AL 35203-3156 | 2017-08-28 |
1972059814 | Southeast Vision LLC | Eyewear Supplier (Equipment, not the service) | 106 West Veterans Drive, Auburn, AL 36832 | 2016-08-31 |
1427504760 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 50 Commons Way, Suite D, Oxford, AL 36203 | 2016-08-28 |
1679026090 | Eyeglasses Services On Wheels | Eyewear Supplier (Equipment, not the service) | 101 Old Hackberry Ln, 1209, Tuscaloosa, AL 35401-7460 | 2016-08-02 |
1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
1477943041 | Invision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 350 Hallman Hl E, Suite 81, Homewood, AL 35209-6532 | 2015-02-03 |
1720410905 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2601 S Mckenzie St Spc 234, #234, Foley, AL 36535-3488 | 2013-07-30 |
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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.