WAL-MART STORES EAST, LP (NPI# 1174609374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174609374 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0434 |
| Practice Address |
11610 Memorial Pkwy Sw Huntsville AL 35803-2152 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2568810581 |
| Enumeration Date | 2006-10-31 |
| 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 30-0434 | 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 |
11610 MEMORIAL PKWY SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35803-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669485108 | Curtis M. Noble | Optometrist | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2006-08-15 |
| 1497275267 | Misty Dawn Tysor | Pharmacist | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2017-06-22 |
| 1598961377 | Betty G. Parcus | Nurse Practitioner | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2007-06-26 |
| 1285753657 | Janet Long Kiessling | Nurse Practitioner | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2007-03-28 |
| 1679613152 | Deborah Annette Brooks | Nurse Practitioner | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2007-02-07 |
| 1861531923 | Barbara Lorraine Burge | Nurse Practitioner | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205358132 | Madison Elizabeth Malone | Student in an Organized Health Care Education/Training Program | 11019 Everest Circle, Huntsville, AL 35803 | 2017-07-12 |
| 1023493509 | Christopher M O'barr | Nurse Practitioner | 2604 Quail Ridge Lane Sw, Huntsville, AL 35803 | 2015-07-24 |
| 1063655959 | Richard Rollin Thornton | Obstetrics & Gynecology | 713 Halstead Court, Huntsville, AL 35803 | 2009-04-08 |
| 1538280334 | Debra Lynn Means | Nurse Practitioner | Walmart 11610 South Memorial Parkway, Huntsville, AL 35803 | 2007-04-02 |
| 1104894963 | Mary Elizabeth Barry | Nurse Practitioner | 10300 Bailey Cove Rd Se Ste 13, Huntsville, AL 35803 | 2006-03-09 |
| 1023094042 | Hospice Family Care | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2005-12-21 |
| 1134120553 | Robert L Hash II | Neurological Surgery | 10000 Serenity Lane S.e., Huntsville, AL 35803 | 2005-08-09 |
| 1427571157 | Hh Health System - Caring for Life | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2017-07-25 |
| 1912428384 | Coker Eye Care, LLC | Optometrist | 2235 National Blvd Sw, Huntsville, AL 35803 | 2017-07-06 |
| 1316392533 | Lydia Foster Doubet Shull | Nurse Practitioner | 1425 Weatherly Rd Se, Huntsville, AL 35803 | 2016-04-25 |
| Find all providers in zip 35803 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
| 1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
| 1609042670 | William T Neill | Technician/Technologist | 3007 Memorial Pkwy Sw Ste A, Huntsville, AL 35801-5394 | 2008-04-30 |
| 1174607717 | Wal-mart Stores East, Lp | Technician/Technologist | 6140a University Dr., Huntsville, AL 35806 | 2006-10-24 |
| 1134574742 | Wal-mart Stores East, Lp | Technician/Technologist | 2165 Winchester Rd Ne, Huntsville, AL 35811-9198 | 2016-05-02 |
| 1225446206 | Wal-mart Stores East, Lp | Technician/Technologist | 3031 Memorial Pkwy Sw, Huntsville, AL 35801-5304 | 2014-07-23 |
| 1992919963 | Sherilyn Kay Hay | Technician/Technologist | 310 Clinton Ave W, Huntsville, AL 35801-5527 | 2007-05-09 |
| 1134264567 | Pearle Vision | Technician/Technologist | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2007-02-21 |
| 1972693216 | Sam's Club Optical | Technician/Technologist | 2235 National Blvd Sw, Huntsville, AL 35803-2197 | 2006-10-16 |
| 1245329192 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Sparkman Dr Nw, Huntsville, AL 35810-3820 | 2006-10-11 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35803 |
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.