WAL-MART STORES EAST, LP (NPI# 1174639827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174639827 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-5497 |
| Practice Address |
25737 Us Route 11 Evans Mills NY 13637-3221 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 3156292124 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY J BOYD (CONTRACT COORDINATOR) |
| Authorized Official Telephone | 4792771359 |
| 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 30-5497 | 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 |
25737 US ROUTE 11 |
| City | EVANS MILLS |
| State | NY |
| Zip Code | 13637-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601914 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2006-07-16 |
| 1881100386 | Alton Edward Hance | Technician/Technologist | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2017-12-19 |
| 1780947119 | Justin Pecori | Optometrist | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2012-06-20 |
| 1134442379 | Jennifer Joyce Kerley | Pharmacist | 25737 Us Route 11, Evans Mills, NY 13637 | 2010-03-02 |
| 1831362631 | Jennifer Lynn Dean | Pharmacist | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2008-04-12 |
| 1285849570 | Hearing Health LLC | Hearing Aid Equipment | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2007-05-11 |
| 1689737843 | Charles Fredrick Metzler Jr. | Optometrist | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2006-12-19 |
| 1467460535 | Michael S Diamond | Optometrist | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780953257 | Indian River Central School | Local Education Agency (LEA) | 8442 S Main Street, Evans Mills, NY 13637 | 2011-12-29 |
| 1467766782 | Daniel W Krebs | Family Medicine | 26908 Independence Way, Samaritan Family Health Center - Leray, Evans Mills, NY 13637 | 2010-07-28 |
| 1427370774 | David Stetson Bombard | Pharmacist | 25737 Us Rt 11, Evans Mills, NY 13637 | 2010-02-26 |
| 1467663344 | Carthage Area Hospital Inc. | Obstetrics & Gynecology | Route 11 Freedom Plaza, Evans Mills, NY 13637 | 2007-05-24 |
| 1437230992 | Shara Peets | Specialist | Us Rt. 11, Evans Mills, NY 13637 | 2006-10-18 |
| 1366530958 | Evans Mills Volunteer Ambulance Squad Inc | Ambulance | 8733 Factory St, Evans Mills, NY 13637-0113 | 2006-10-10 |
| 1891862314 | Evans Mills Volunteer Ambulance Squad Inc | Ambulance | 8733 Factory St, Evans Mills, NY 13637-0113 | 2006-11-29 |
| 1063923167 | Alyse Munoz | Social Worker | 25659 County Route 16, Evans Mills, NY 13637-3104 | 2017-10-16 |
| 1760639231 | Leon France | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-26 |
| 1740695568 | Credo Community Center for The Treatment of Addictions | Substance Abuse Rehabilitation Facility | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2014-07-01 |
| Find all providers in zip 13637 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881100386 | Alton Edward Hance | Technician/Technologist | 25737 Us Route 11, Evans Mills, NY 13637-3221 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
| City | EVANS MILLS |
| Zip Code | 13637 |
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.