WAL-MART STORES EAST, LP (NPI# 1114000452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114000452 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2924 |
| Practice Address |
2550 Coors Blvd Nw Albuquerque NM 87120-2123 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5053521870 |
| Enumeration Date | 2006-10-23 |
| 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 30-2924 | 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 |
2550 COORS BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497127724 | Alexis Sandoval | Pharmacist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2015-10-26 |
| 1205207818 | Timothy Donlin | Pharmacist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2015-10-08 |
| 1700273158 | John Keck | Pharmacist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2015-04-23 |
| 1184031148 | Tammy Lamb | Pharmacist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2014-07-22 |
| 1679980866 | Suzzette Sturtevant | Pharmacist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2014-07-19 |
| 1942616362 | Amy Nieto | Pharmacist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2014-07-07 |
| 1750712451 | Jennifer L. Haddock | Pharmacist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2013-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056186 | Marie Angela Archibeque | Technician/Technologist | 2910 San Mateo Blvd Ne Ste 6, Albuquerque, NM 87110-3187 | 2017-07-23 |
| 1548541204 | Roberta Jean Montoya I | Technician/Technologist | 3905 Isleta Blvd Sw, Albuquerque, NM 87105-6130 | 2011-09-07 |
| 1629396015 | Lorraine Gomez | Technician/Technologist | 4201 Central Ave Ne, #b2, Albuquerque, NM 87105-1630 | 2010-05-10 |
| 1164505087 | Wal-mart Stores East, Lp | Technician/Technologist | 10224 Coors Byp Nw, Albuquerque, NM 87114-4398 | 2006-10-23 |
| 1891883476 | Sam's Club Optical | Technician/Technologist | 1421 N. Renaissance Blvd. Ne, Albuquerque, NM 87101 | 2006-10-10 |
| 1982922670 | Gomez Eyewear, LLC | Technician/Technologist | 10701 Montgomery Blvd Ne, Suite L, Albuquerque, NM 87111-3816 | 2010-05-05 |
| 1588793269 | Rita J Graham | Technician/Technologist | 4306 Lomas Blvd Ne, Albuquerque, NM 87110-7751 | 2007-03-05 |
| 1104909456 | Wal-mart Stores East, Lp | Technician/Technologist | 3500 Coors Blvd Sw, Albuquerque, NM 87121-5274 | 2006-10-23 |
| 1720161292 | Walmart Stores East, Lp | Technician/Technologist | 8000 Academy Rd Ne, Albuquerque, NM 87111-1159 | 2006-10-20 |
| 1821180753 | Sam's Club Optical | Technician/Technologist | 300 Eubank Blvd Ne, Albuquerque, NM 87123-2755 | 2006-09-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
Please comment or provide details below to improve the information on WAL-MART STORES 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.