WAL-MART STORES, INC (NPI# 1104907146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104907146 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-3531 |
| Practice Address |
1401 Galaxy Dr Ne Lacey WA 98516-4746 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 3604566550 |
| Enumeration Date | 2006-10-18 |
| 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 30-3531 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
1401 GALAXY DR NE |
| City | LACEY |
| State | WA |
| Zip Code | 98516-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821015959 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2006-07-16 |
| 1336785047 | Jessica Reanne Groves | Pharmacist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2019-11-18 |
| 1982130563 | Sumera Saeed | Pharmacist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2017-05-03 |
| 1932516051 | Fredrick Ross Thompson | Pharmacist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2014-07-21 |
| 1457762536 | Dr Joseph Glandon LLC | Optometrist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2014-05-12 |
| 1922444041 | Tracy Mock | Pharmacist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2013-05-15 |
| 1356457436 | Joseph W Glandon | Optometrist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508032236 | Americas Best Contacts & Eyeglasses | Technician/Technologist | 1200 Galaxy Drive, Suite 3, Lacey, WA 98516 | 2008-05-02 |
| 1396968913 | Gary Buhrmester Mattix | Technician/Technologist | 700 Sleater Kinney Rd Se, Suite E, Lacey, WA 98503-1113 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
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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.