WAL-MART STORES EAST, LP (NPI# 1083790232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083790232 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2932 |
| Practice Address |
10900 Parkside Dr Knoxville TN 37934-1958 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 8657775171 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (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 30-2932 | 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 |
10900 PARKSIDE DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094663 | Michael Alan Schwartz | Optometrist | 10900 Parkside Dr, Knoxville, TN 37934-1958 | 2005-09-27 |
| 1750880480 | R Douglas Mason | Pharmacist | 10900 Parkside Dr, Knoxville, TN 37934-1958 | 2018-02-08 |
| 1124549761 | Adel Ibrahem Mustafa | Pharmacist | 10900 Parkside Dr, Knoxville, TN 37934-1958 | 2017-07-05 |
| 1205132305 | Dr. Alan Schwartz | Optometrist | 10900 Parkside Dr, Knoxville, TN 37934-1958 | 2011-02-07 |
| 1538291802 | John Benjamin Brimi | Ophthalmology | 10900 Parkside Dr, Knoxville, TN 37934-1958 | 2007-03-12 |
| 1083631287 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 10900 Parkside Dr, Knoxville, TN 37934-1958 | 2006-07-16 |
| 1083679682 | Thomas Allen Fiebke | Pharmacist | 10900 Parkside Dr, Knoxville, TN 37934-1938 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952853947 | National Vision, Inc. | Technician/Technologist | 6634 Clinton Hwy, Ste 103, Knoxville, TN 37912-1016 | 2016-10-26 |
| 1275988214 | National Vision, Inc. | Technician/Technologist | 165 N Peters Rd, Knoxville, TN 37923-4908 | 2016-04-27 |
| 1336454529 | Wal-mart Stores East Lp | Technician/Technologist | 7550 Norris Freeway, Knoxville, TN 37938 | 2010-08-11 |
| 1417151366 | John Anthony Norton | Technician/Technologist | 4306 N Broadway St, Knoxville, TN 37917-2207 | 2007-06-13 |
| 1093862005 | Bobby Gene Luttrell | Technician/Technologist | 5030 Kingston Pike, Knoxville, TN 37919-5187 | 2007-01-04 |
| 1235214818 | Wal-mart Stores East, Lp | Technician/Technologist | 6777 Clinton Hwy, Knoxville, TN 37912-1020 | 2006-10-25 |
| 1558444190 | Wal-mart Stores, Inc. | Technician/Technologist | 814 W Bell Ave, Knoxville, IA 50138-3162 | 2006-10-24 |
| 1932282274 | Wal-mart Stores East, Lp | Technician/Technologist | 7420 Chapman Hwy, Knoxville, TN 37920-6614 | 2006-10-23 |
| 1962584987 | Wal-mart Stores East, Lp | Technician/Technologist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-10-19 |
| 1508948514 | Wal-mart Stores East, Lp | Technician/Technologist | 8445 Walbrook Dr, Knoxville, TN 37923-3115 | 2006-10-19 |
| Find all providers in KNOXVILLE | ||||
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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.