WAL-MART STORES, INC (NPI# 1174619233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174619233 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-2070 |
| Practice Address |
3101 A St Anchorage AK 99503-4008 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 9075635900 |
| Enumeration Date | 2006-10-05 |
| 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 30-2070 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
3101 A ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245257559 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3101 A St, Anchorage, AK 99503-4050 | 2006-07-16 |
| 1295279578 | Family Vision Center | Optometrist | 3101 A St, Anchorage, AK 99503-4050 | 2016-12-06 |
| 1225401607 | Jeremy B Daube | Pharmacist | 3101 A St, Anchorage, AK 99503-4050 | 2015-11-05 |
| 1851760474 | Dante Urviola-lopez | Pharmacist | 3101 A St, Anchorage, AK 99503-4050 | 2015-09-24 |
| 1245607555 | Ronda Stede | Pharmacist | 3101 A St, Anchorage, AK 99503-4050 | 2015-08-24 |
| 1154744712 | Family Vision Center | Preferred Provider Organization | 3101 A St, Anchorage, AK 99503-4008 | 2014-01-31 |
| 1225380470 | Douglas Mcmanus | Pharmacist | 3101 A St, Anchorage, AK 99503-4008 | 2012-10-12 |
| 1679670657 | Charles A Lekites | Optometrist | 3101 A St, Anchorage, AK 99503-4008 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427341734 | Julie Beth Johnson | Technician/Technologist | 5710 Denali St, Anchorage, AK 99518-1342 | 2011-05-19 |
| 1538452925 | Andrew Fox | Technician/Technologist | 3561 E Tudor Rd, Anchorage, AK 99507-1216 | 2011-05-18 |
| 1568760783 | Village Eye Wear Inc | Technician/Technologist | 205 E Benson Blvd, Anchorage, AK 99503-4019 | 2011-03-11 |
| 1285962035 | Tammy Elizabeth Collings | Technician/Technologist | 2709 E 17th Ave, Anchorage, AK 99508-3209 | 2009-12-04 |
| 1780737882 | Ray Blackford | Technician/Technologist | 3744 Lake Otis Pkwy, Anchorage, AK 99508-5208 | 2007-01-19 |
| 1942357785 | Jeff Powell | Technician/Technologist | 3561 E Tudor Rd Ste 8, Anchorage, AK 99507-1200 | 2007-01-04 |
| 1083036909 | William Michael Abrams | Technician/Technologist | 1515 E Tudor Rd, Suite 5, Anchorage, AK 99507-1035 | 2014-01-12 |
| 1265870141 | Mabelita S Camero | Technician/Technologist | 600 E Northern Lights Blvd, Suite L, Anchorage, AK 99503-4162 | 2013-06-12 |
| 1659612315 | Vision Plastics Usa Inc. | Technician/Technologist | 3500 Latouche St, Suite 100, Anchorage, AK 99508-4260 | 2013-03-06 |
| 1679866958 | Sach M. Suitt | Technician/Technologist | 3561 E Tudor Rd Ste 8, Anchorage, AK 99507-1200 | 2011-05-19 |
| Find all providers in ANCHORAGE | ||||
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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.