WAL-MART STORES INC (NPI# 1083929277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083929277 |
Entity Type | Organization |
Organization Name | WAL-MART STORES INC |
Other Organization Name | VISION CENTER 30-4221 |
Practice Address |
220 N Adair Cornelius OR 97113 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 5033599129 |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |
Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
Authorized Official Telephone | 4792771238 |
Is Organization Subpart | N |
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 30-4221 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871980219 | Wal-mart Stores Inc | Technician/Technologist | 4425 Venetucci Blvd, Fountain, CO 80906 | 2015-04-23 |
1932590999 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 605 Orchard Dr, Hillsboro, KS 67063-3502 | 2015-02-12 |
1538558994 | Wal-mart Stores Inc | Technician/Technologist | 3460 W Chandler Blvd, Chandler, AZ 85226-5065 | 2015-01-22 |
1861897134 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1105 E 15th St, Ellsworth, KS 67439-8548 | 2014-10-29 |
1316342686 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 120 W Rosewood St, Rose Hill, KS 67133-9301 | 2014-10-29 |
1578967212 | Wal-mart Stores Inc | Pharmacy | 1531 E Highway 64, Coal Hill, AR 72832-8704 | 2014-10-09 |
1568865368 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 720 N Hwy 71, Mansfield, AR 72940 | 2014-10-07 |
1497158349 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 900 E Ross St, Clearwater, KS 67026-7849 | 2014-10-07 |
1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
Street Address |
220 N ADAIR |
City | CORNELIUS |
State | OR |
Zip Code | 97113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255748265 | Joshua David Shinoda | Optometrist | 195 N Adair St., Ste E, Cornelius, OR 97113 | 2014-07-22 |
1265777445 | Trisstin Colleen Mccallister | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2012-11-29 |
1720392608 | Darin Closson | Optometrist | 220 N Adair Street, Cornelius, OR 97113 | 2010-08-03 |
1235469412 | Heymi Hamlin | Chiropractor | 1250 Baseline St., Cornelius, OR 97113 | 2010-01-11 |
1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
1760550693 | Steven M Hill | Dentist | 926 W Baseline, Cornelius, OR 97113 | 2006-11-30 |
1811936362 | Susan A Kass | Nurse Practitioner | 1151 N. Adair Street, Cornelius, OR 97113 | 2006-06-06 |
1053367540 | Laura R. Byerly | Family Medicine | 1151 N. Adair St., Cornelius, OR 97113 | 2006-05-26 |
1730514902 | Caitlyn Joy Monks | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2013-09-06 |
1700166931 | Mary Jensen | Specialist | 1250 Baseline, Cornelius, OR 97113 | 2011-08-19 |
Find all providers in zip 97113 |
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 |
---|---|---|---|---|
1255827689 | Woodburn Eye Center, LLC | Eyewear Supplier (Equipment, not the service) | 580 Glatt Cir, Woodburn, OR 97071-7690 | 2018-07-09 |
1518473297 | Asterix Eyewear | Eyewear Supplier (Equipment, not the service) | 4936 Se Foster Rd, Portland, OR 97206-3037 | 2017-12-18 |
1831616929 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 817 Nw 23rd Ave, Portland, OR 97210-3003 | 2017-08-29 |
1568993988 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9300 Sw Washington Square Rd, Portland, OR 97223-4428 | 2017-03-27 |
1871048090 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 30020 Sw Boones Ferry Rd, Wilsonville, OR 97070-8912 | 2016-08-17 |
1467823518 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3148 N Highway 97, Suite B-1, Bend, OR 97703-7514 | 2015-10-15 |
1871962951 | Optical Shop Equipment Inc | Eyewear Supplier (Equipment, not the service) | 341 Nw Medical Loop, Suite 120, Roseburg, OR 97471-5540 | 2015-09-18 |
1326460221 | Mt. Hood Eye Care Corporation | Eyewear Supplier (Equipment, not the service) | 36840 Industrial Way Ste D, Sandy, OR 97055-9254 | 2014-01-11 |
1528301173 | Treondaus Garnett Morman | Eyewear Supplier (Equipment, not the service) | 1135 Santiam Hwy Se, Albany, OR 97321-3156 | 2013-04-02 |
1750611372 | Focal Point | Eyewear Supplier (Equipment, not the service) | 2002 Highway 101, North, Florence, OR 97439-0155 | 2010-01-04 |
Find all providers with the same taxonomy |
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.