WAL-MART STORES EAST, LP (NPI# 1164510780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164510780 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1868 |
| Practice Address |
100 Mount Auburn Ave Auburn ME 04210-8565 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2077840738 |
| Enumeration Date | 2006-10-10 |
| 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 30-1868 | 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 |
100 MOUNT AUBURN AVE |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-8565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346281128 | Randolph B Sawyer | Optometrist | 100 Mount Auburn Ave, Auburn, ME 04210-8651 | 2006-06-10 |
| 1225515539 | Alexii West | Pharmacist | 100 Mount Auburn Ave, Auburn, ME 04210-8651 | 2018-07-20 |
| 1043797384 | Cynthia Ann Landry | Pharmacist | 100 Mount Auburn Ave, Auburn, ME 04210-8651 | 2018-07-19 |
| 1427544287 | Mark Gordon Sprague | Pharmacist | 100 Mount Auburn Ave, Auburn, ME 04210-8651 | 2018-07-05 |
| 1275041824 | Randolph B. Sawyer | Optometrist | 100 Mount Auburn Ave, Auburn, ME 04210-8651 | 2018-01-17 |
| 1760853634 | Lacey Burns | Pharmacist | 100 Mount Auburn Ave, Auburn, ME 04210-8651 | 2015-10-16 |
| 1912924283 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 Mount Auburn Ave, Auburn, ME 04210-8651 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861961500 | Anna Watts | Technician/Technologist | 1119 High St Ste 2, Auburn, CA 95603-5153 | 2018-11-23 |
| 1649749474 | Wattswerks, LLC | Technician/Technologist | 1113 High St Ste 5, Auburn, CA 95603-5137 | 2018-11-21 |
| 1396275392 | National Vision, Inc. | Technician/Technologist | 2803 Grass Valley Hwy, Auburn, CA 95603-2542 | 2017-06-13 |
| 1871951731 | Devi Carson Jorgenson | Technician/Technologist | 401 1st Ne, For Eyez & Style, Auburn, WA 98002-5042 | 2016-02-08 |
| 1316152929 | Larc Enterprises | Technician/Technologist | 217 Grant Ave, Auburn, NY 13021-1447 | 2007-05-14 |
| 1326105057 | Lynn Marie Tillman | Technician/Technologist | 2188 Grass Valley Hwy, Auburn, CA 95603-2522 | 2007-01-02 |
| 1861558579 | Mark John Lawn | Technician/Technologist | 13 East Genesee St, Auburn, NY 13021-4045 | 2006-12-28 |
| 1558438820 | Mark Andrew Divietro | Technician/Technologist | 97 Genesee Street, Silbert Optical Inc, Auburn, NY 13021-3683 | 2006-11-29 |
| 1134296494 | Joseph Edward Divietro | Technician/Technologist | Silbert Optical Inc, 97 Genesee Street, Auburn, NY 13021-3683 | 2006-11-29 |
| 1750471736 | Wal-mart Stores, Inc | Technician/Technologist | 762 Supermail Way Sw, Auburn, WA 98001 | 2006-10-13 |
| Find all providers in AUBURN | ||||
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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.