WAL-MART EAST, LP (NPI# 1114088770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114088770 |
| Entity Type | Organization |
| Organization Name | WAL-MART EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-0493 |
| Practice Address |
305 Letton Dr. Paris KY 40361 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 8599874686 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BJ RICE (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792779835 |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-0493 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192146 | Wal-mart East, Lp | Eyewear Supplier (Equipment, not the service) | 1601 W Edgar Rd, Linden, NJ 07036-6422 | 2019-09-05 |
| 1720504269 | Wal-mart East, Lp | Eyewear Supplier (Equipment, not the service) | 2855 N. Old Lake Wilson Road, Kissimmee, FL 34747-0000 | 2017-08-16 |
| 1457873416 | Wal-mart East, Lp | Technician/Technologist | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-12 |
| Street Address |
305 LETTON DR. |
| City | PARIS |
| State | KY |
| Zip Code | 40361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157739 | Maria Renee Koerner | Counselor | 5 Linville Dr., Ste 102, Paris, KY 40361 | 2018-06-12 |
| 1922353432 | Bluegrass Hearing Clinic, LLC | Audiologist | 20 E 5th St, Paris, KY 40361 | 2012-07-20 |
| 1376670828 | Robert Allen Biddle | Emergency Medicine | 4888 Lexington Rd, Paris, KY 40361 | 2007-02-28 |
| 1396801395 | Bourbon Family Dentistry | Dentist | 4223 A Lexington Rd, Paris, KY 40361 | 2006-12-28 |
| 1669535795 | Liza Levy | Family Medicine | 2017 South Main Street, Paris, KY 40361 | 2006-12-19 |
| 1235200205 | Mariam Susanne Fallahzadeh | Dentist | 4223a Lexington Road, Bourbon Family Dentistry Pllc, Paris, KY 40361 | 2006-11-13 |
| 1245313246 | Vargo Enterprises Inc | Clinical Medical Laboratory | 2017 South Main, Paris, KY 40361 | 2006-10-23 |
| 1831289131 | Kpi Therapy | Contractor | 436 Houston Oaks, Paris, KY 40361 | 2006-10-15 |
| 1184738999 | Chester Raymond Young Jr. | Family Medicine | 22 Clinic Dr, Paris, KY 40361 | 2006-08-18 |
| 1093829822 | Nathan L Moore | Family Medicine | 22 Clinic Drive, Paris, KY 40361 | 2006-08-18 |
| Find all providers in zip 40361 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730262387 | Wal-mart Stores, Inc | Technician/Technologist | 15150 Us Highway 150, Paris, IL 61944-6615 | 2006-10-24 |
| 1295817195 | Wal-mart Stores East, Lp | Technician/Technologist | 1210 Mineral Wells Ave, Paris, TN 38242-4914 | 2006-10-19 |
| 1568543668 | Wal-mart Stores Texas, Lp | Technician/Technologist | 3855 Lamar Ave, Paris, TX 75462-5210 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
| 1760045231 | Nancy M Naiser | Technician/Technologist | 140 W Pike St, Covington, KY 41011-2310 | 2019-04-19 |
| 1598229098 | Lisa Nicholas | Technician/Technologist | 1707 Cumberland Falls Hwy Ste U4, Corbin, KY 40701-2744 | 2019-01-29 |
| 1376011494 | Brian D Blevins | Technician/Technologist | 30 Highland Meadows Cir Ste 11, Highland Heights, KY 41076-1788 | 2018-11-06 |
| 1720578446 | Kenneth Antonio Shoats Jr. | Technician/Technologist | 1325 Bardstown Rd, Louisville, KY 40204-1319 | 2018-05-17 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1932568235 | Wal-mart Stores East, Lp | Technician/Technologist | 6501 Veterens Memorial Pkwy, Crestwood, KY 40014-8694 | 2016-02-15 |
| 1740614866 | Christopher Michael Boston I | Technician/Technologist | 7951 Hopeful Church Rd, Florence, KY 41042-7922 | 2013-08-26 |
| 1003157199 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4993-4995 Houston Road, Florence, KY 41042 | 2013-03-14 |
| 1982955274 | Mel Len Dukes | Technician/Technologist | 110 W Everly Brothers Blvd Ste G, Central City, KY 42330-2708 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
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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.