WAL-MART STORES EAST, LP, (NPI# 1114000619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114000619 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP, |
| Other Organization Name | VISION CENTER 30-2720 |
| Practice Address |
127 Grandview Dr Madison MS 39110-7595 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6016059662 |
| Enumeration Date | 2006-10-20 |
| 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 30-2720 | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
127 GRANDVIEW DR |
| City | MADISON |
| State | MS |
| Zip Code | 39110-7595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024862 | Kimberly J Ragan | Optometrist | 127 Grandview Dr, Madison, MS 39110-7595 | 2005-09-20 |
| 1659463495 | Ragan Family Eye Care, LLC | Optometrist | 127 Grandview Dr, Madison, MS 39110-7595 | 2006-09-29 |
| 1205896842 | Lorraine Gaddis | Nurse Practitioner | 127 Grandview Dr, Madison, MS 39110-7595 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1063650729 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4237 Lien Rd Ste E, Madison, WI 53704-3686 | 2009-02-03 |
| 1306971767 | Neill Vision Inc | Technician/Technologist | 7779 Highway 72 West, Madison, AL 35758 | 2007-02-23 |
| 1447398649 | Wisconsin Vision, Inc. | Technician/Technologist | 5505 Odana Rd, Madison, WI 53719-1205 | 2007-02-01 |
| 1518005719 | Wisconsin Vision, Inc | Technician/Technologist | 2612 E Washington Ave, Madison, WI 53704-5026 | 2007-02-01 |
| 1659426252 | Richard Charles Luke | Technician/Technologist | 1410 Eatonton Rd, Madison, GA 30650-4600 | 2007-01-24 |
| 1083791495 | Patrick Joseph Moriarty | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2006-11-01 |
| 1922358225 | Wal-mart Stores East Lp | Technician/Technologist | 8580 Highway 72 W, Madison, AL 35758-9578 | 2012-09-13 |
| 1689841231 | Madison Optical | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2008-05-13 |
| Find all providers in MADISON | ||||
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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.