WAL-MART STORES EAST, LP (NPI# 1104920396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104920396 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2933 |
| Practice Address |
201 Greasy Ridge Rd Princeton WV 24740-6900 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3044312100 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (NPI COORDINATOR) |
| Authorized Official Telephone | 3167888850 |
| 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 30-2933 | 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 |
201 GREASY RIDGE RD |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732133 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2006-07-16 |
| 1407457229 | James Michael Bryant | Pharmacist | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2020-11-06 |
| 1699376020 | Mistelle H Scott | Pharmacist | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2020-11-03 |
| 1053912303 | Mary Beth Martin | Pharmacist | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2020-11-03 |
| 1326648056 | Susanna Goodnite | Pharmacist | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2020-10-30 |
| 1891926473 | Westley Duane Carr | Optometrist | 201 Greasy Ridge Rd, Princeton, WV 24740-6900 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992170914 | National Vision, Inc. | Technician/Technologist | 640 Nassau Park Blvd, Princeton, NJ 08540-5949 | 2015-12-02 |
| 1053464024 | Princeton Optical | Technician/Technologist | 1304 W Broadway St, Princeton, IN 47670-1140 | 2007-01-21 |
| 1952765703 | Wal-mart Stores Texas, LLC | Technician/Technologist | 701 W Princeton Dr, Princeton, TX 75407-9002 | 2016-04-07 |
| 1689043176 | Wal-mart Stores East, Lp | Technician/Technologist | 1500 Us Highway 62 W, Princeton, KY 42445-6106 | 2015-09-15 |
| 1710221023 | Wal-mart Stores Inc | Technician/Technologist | 300 21st Ave N, Princeton, MN 55371 | 2012-11-27 |
| 1770873655 | Value Vision Optical, LLC | Technician/Technologist | 109 W Broadway St, Princeton, IN 47670-1501 | 2011-04-13 |
| 1437376522 | Felton,wong,wong & Reynolds,pa | Technician/Technologist | 419 N Harrison St, Suite 104, Princeton, NJ 08540-3521 | 2007-04-19 |
| 1194898171 | A-z, Inc. | Technician/Technologist | 310 Locust St., #6, Princeton, WV 24740 | 2006-11-16 |
| 1295816189 | Wal-mart Stores, Inc | Technician/Technologist | 2111 Claude Bailey Pkwy, Princeton, IL 61356-8618 | 2006-10-18 |
| 1174549620 | Theodore P. Werblin Md, PC. | Technician/Technologist | 1051 Stafford Dr, Princeton, WV 24740-2409 | 2006-07-15 |
| Find all providers in PRINCETON | ||||
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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.