WAL-MART STORES EAST, LP (NPI# 1104915016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104915016 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1164 |
| Practice Address |
360 Harbison Blvd Columbia SC 29212-2248 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8037810762 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-1164 | 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 |
360 HARBISON BLVD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952365702 | John L Brinkley | Optometrist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2006-04-17 |
| 1407494339 | Whitney C Williams | Pharmacist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2019-12-10 |
| 1689079915 | Christopher Brent Munnerlyn | Pharmacist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2014-10-29 |
| 1033513403 | Marilyn Bedenbaugh | Pharmacist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2014-10-14 |
| 1750791711 | Susan Mosier | Pharmacist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2014-04-30 |
| 1598184160 | Anna Mcdaniel | Pharmacist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2014-04-10 |
| 1982912838 | Elizabeth Lauren Sekula | Pharmacist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2010-09-14 |
| 1912034273 | Laura Belka | Optometrist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2007-02-27 |
| 1528085776 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2006-07-16 |
| 1295777696 | Focus Eye Care Center, PC | Optometrist | 360 Harbison Blvd, Columbia, SC 29212-2248 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
| 1104274307 | Wal-mart Stores East, Lp | Technician/Technologist | 733 Fashion Drive, Columbia, SC 29229-0000 | 2016-05-27 |
| 1992947576 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5580 Forest Dr Ste 118, Columbia, SC 29206-5000 | 2009-03-30 |
| 1942461934 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1201 Grindstone Pkwy Ste 113, Columbia, MO 65201-3741 | 2008-06-23 |
| 1912182262 | Arama Vision Care | Technician/Technologist | 1823 Shadowood Dr, Columbia, SC 29212-2035 | 2008-01-07 |
| 1316161797 | Wal-mart Stores, Inc | Technician/Technologist | 1326 Bush River Road, Columbia, SC 29210 | 2007-04-13 |
| 1720109622 | Sansbury Eye Center | Technician/Technologist | 275 Harbison Blvd Ste T, Columbia, SC 29212-2222 | 2007-04-02 |
| 1447387048 | Gordon Quatlebaum Scott Jr. | Technician/Technologist | 1812 Washington St, Columbia, SC 29201-3549 | 2007-02-28 |
| 1720134513 | Columbia Eyewear | Technician/Technologist | 500 Keene Street, Suite 103, Columbia, MO 65201 | 2007-01-26 |
| 1407932734 | Wal-mart Stores East, Lp | Technician/Technologist | 3001 W. Broadway, Columbia, MO 65203 | 2006-10-30 |
| Find all providers in COLUMBIA | ||||
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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.