WAL-MART STORE EAST, LP (NPI# 1093870909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093870909 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORE EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-3626 |
| Practice Address |
1330 W. Clemmnonsville Rd. Winston Salem NC 27127 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 3367717322 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BJ RICE (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792779835 |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-3626 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1699279430 | Wal-mart Store East, Lp | Eyewear Supplier (Equipment, not the service) | 2501 Route 130 S, Cinnaminson, NJ 08077-3075 | 2018-03-19 |
| 1295241420 | Wal-mart Store East, Lp | Eyewear Supplier (Equipment, not the service) | 1226 E Dixie Dr, Asheboro, NC 27203-8856 | 2017-12-26 |
| 1366531972 | Wal-mart Store East, Lp | Technician/Technologist | 11012 N Williams St, Dunnellon, FL 34432-8319 | 2006-10-12 |
| 1205928769 | Wal-mart Store East, Lp | Technician/Technologist | 2144 W Indiantown Rd, Jupiter, FL 33458-5810 | 2006-09-29 |
| Street Address |
1330 W. CLEMMNONSVILLE RD. |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1326654963 | Procare Home Health, LLC | Home Health | 12133 Nc-150 Suite C, Winston-salem, NC 27127 | 2020-09-18 |
| 1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
| 1427403815 | Ramona Rorie Griffin Noble | Counselor | 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 | 2016-05-04 |
| 1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
| 1487030060 | Llibott Consultorios Medicos- Ws,pllc | Clinic/Center | 1145 Silas Creek Pkwy, Winston Salem, NC 27127 | 2015-08-05 |
| 1740688266 | Bonnie M. Clifton | Specialist/Technologist | 800 Salisbury Ridge Rd, Winston-salem, NC 27127 | 2014-12-16 |
| 1740606706 | Yen T Nguyen Dmd Pllc | Dentist | 2375 Brewer Road, Winston-salem, NC 27127 | 2014-03-13 |
| 1316254451 | Marquis D. Bailey | Specialist | 200 Alexander Preston Ln, Winston - Salem, NC 27127 | 2010-09-10 |
| 1093991234 | Independent Living Group Home, LLC | Custodial Care Facility | 924 Cloister Dr, Winston Salem, NC 27127 | 2008-01-17 |
| Find all providers in zip 27127 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857413 | National Vision Inc | Technician/Technologist | 1602 S Stratford Rd Ste 120, Winston Salem, NC 27103-2924 | 2018-10-22 |
| 1487165833 | Curtis Markee Threatt | Technician/Technologist | 2700 Reynolda Rd Apt 1302, Winston Salem, NC 27106-3847 | 2017-10-12 |
| 1912178625 | Larry Eugene Harbin | Technician/Technologist | 1714 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2008-03-20 |
| 1639276835 | Summit Eye Care, Pa | Technician/Technologist | 1714 S. Hawthorne Road, Winston Salem, NC 27103-4016 | 2006-09-20 |
| 1881865939 | Vicky Bowles Beamon | Technician/Technologist | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-03-17 |
| 1952422958 | Gregory Childress | Technician/Technologist | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2007-04-03 |
| 1235286360 | Sonja Ann Osborne | Technician/Technologist | 3320 Silas Creek Pkwy, Suite 150, Winston Salem, NC 27103-3031 | 2007-01-04 |
| 1326133562 | Ardmore Opticians Inc | Technician/Technologist | 3001 Maplewood Ave, Winston Salem, NC 27103-4020 | 2006-10-04 |
| 1851482046 | Sam's Club Optical | Technician/Technologist | 284 Summit Square Blvd, Winston Salem, NC 27105-1461 | 2006-09-27 |
| 1679664866 | Sam's Club Optical | Technician/Technologist | 930 Hanes Mall Blvd, Winston Salem, NC 27103-5527 | 2006-09-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27127 |
Please comment or provide details below to improve the information on WAL-MART STORE 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.