WAL-MART STORES EAST, LP (NPI# 1114000718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114000718 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0684 |
| Practice Address |
547 W Church St Lexington TN 38351-1703 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 7319685212 |
| Enumeration Date | 2006-10-24 |
| 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 30-0684 | 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 |
547 W CHURCH ST |
| City | LEXINGTON |
| State | TN |
| Zip Code | 38351-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601963 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 547 W Church St, Lexington, TN 38351-1703 | 2006-07-16 |
| 1851919575 | Katie Pigg | Pharmacist | 547 W Church St, Lexington, TN 38351-1703 | 2020-07-09 |
| 1003384785 | Brittany Wyatt | Pharmacist | 547 W Church St, Lexington, TN 38351-1703 | 2018-11-11 |
| 1982192787 | Shelby Mills | Pharmacist | 547 W Church St, Lexington, TN 38351-1703 | 2018-04-26 |
| 1659566784 | Rebecca Jo Dinkins | Optometrist | 547 W Church St, Lexington, TN 38351-1703 | 2007-09-11 |
| 1265656524 | Brandi La'shelle Long | Optometrist | 547 W Church St, Wal-mart Vision Center, Lexington, TN 38351-1703 | 2007-04-11 |
| 1750447967 | Randy Gene Huddleston | Pharmacist | 547 W Church St, Lexington, TN 38351-1703 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1659627388 | Candace S Willis | Nurse Practitioner | 864 W Church St Ste A, Lexington, TN 38351 | 2012-07-31 |
| 1356650329 | Robert W Spain | Pharmacist | 654 West Church St, Lexington, TN 38351 | 2010-09-24 |
| 1699944819 | Cynthia Williams | Physical Therapy Assistant | 52 First St, Lexington, TN 38351 | 2008-02-21 |
| 1588703615 | Pansy Hayes Davis | Preventive Medicine | 90 Rush St, Lexington, TN 38351 | 2007-02-05 |
| 1467505958 | Tara Hendrix | Nurse Practitioner | 9550 Hwy 412w Suite C, Lexington, TN 38351 | 2007-01-19 |
| 1760532923 | State of Tennessee | Public Health or Welfare | 90 Rush Street, Lexington, TN 38351 | 2007-01-11 |
| 1154402667 | Professional Arts Pharmacy, LLC | Pharmacy | 270 West Church St Suite C, Lexington, TN 38351 | 2006-10-18 |
| 1891881090 | Jones Pharmacy, LLC | Pharmacy | 101 Lexington Plaza, Lexington, TN 38351 | 2006-10-05 |
| 1366453060 | Tommy Wayne Page | Dentist | 104 Lexington Plaza, Lexington, TN 38351 | 2006-08-10 |
| Find all providers in zip 38351 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
| 1720276454 | Kenneth R Hayden | Technician/Technologist | 740 South Limeston, Lexington, KY 40536-0001 | 2007-10-09 |
| 1326241506 | Kentucky Medical Services Foundation | Technician/Technologist | 740 S Limeston, Lexington, KY 40536-0001 | 2007-06-06 |
| 1881710713 | Richardson Vision Center | Technician/Technologist | 1757 Alexandria Dr, Lexington, KY 40504-3111 | 2007-03-22 |
| 1801939863 | M.d. Optique, Inc | Technician/Technologist | 3801 Mall Road, Suite 115, Lexington, KY 40503 | 2007-02-15 |
| 1255495107 | Wal-mart Stores East, Lp | Technician/Technologist | 2350 Grey Lag Way Rd., Lexington, KY 40509 | 2006-12-21 |
| 1487737318 | Wal-mart Stores East, Lp | Technician/Technologist | 37 Plaza Pkwy, Lexington, NC 27292-5359 | 2006-10-23 |
| 1902987886 | Wallace Williams | Technician/Technologist | 153 Patchen Dr, Ste 1, Lexington, KY 40517-4420 | 2006-10-18 |
| 1003908849 | Peck Opticians Inc | Technician/Technologist | 370 Longview Drive, Lexington, KY 40503-1817 | 2006-09-29 |
| 1194834713 | Professional Opticians Psc | Technician/Technologist | 165 Moore Dr, Lexington, KY 40503 | 2006-08-29 |
| Find all providers in LEXINGTON | ||||
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.