WAL-MART STORES EAST, LP (NPI# 1184032021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184032021 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-3858 |
| Practice Address |
22100 State Road 7 Boca Raton FL 33428-4218 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4792772500 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE CONTRACT&PLAN ENROL) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-3858 | 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 |
22100 STATE ROAD 7 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174615298 | Wal-mart Stores East, Lp | Technician/Technologist | 22100 State Road 7, Boca Raton, FL 33428-4218 | 2006-09-28 |
| 1356948590 | Alexxa Toya Hibbert | Pharmacist | 22100 State Road 7, Boca Raton, FL 33428-4218 | 2020-10-01 |
| 1467827709 | Jermaine Prescott Smith | Pharmacist | 22100 State Road 7, Boca Raton, FL 33428-4218 | 2015-12-12 |
| 1508242462 | Agramonte Optometry Inc | Optometrist | 22100 State Road 7, Boca Raton, FL 33428-4218 | 2015-08-03 |
| 1346652054 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 22100 State Road 7, Boca Raton, FL 33428-4218 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359355 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6000 Glades Rd Ste 1032c, Boca Raton, FL 33431-7217 | 2018-09-10 |
| 1154772887 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5700 Glades Rd, Boca Raton T/c-lc Macy's, Boca Raton, FL 33431-7216 | 2016-06-23 |
| 1801272042 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 9982 Glades Rd, Suite G 1, Boca Raton, FL 33434-3913 | 2015-08-10 |
| 1912190919 | Royal Palm Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 17940 Military Trl, Suite 400, Boca Raton, FL 33496-2499 | 2007-08-22 |
| 1609075019 | Eye-wear Glasses IIi Inc | Eyewear Supplier (Equipment, not the service) | 122 W Palmetto Park Rd, Boca Raton, FL 33432 | 2007-07-16 |
| 1376692301 | For Eyes Optical of Coconut Grove | Eyewear Supplier (Equipment, not the service) | 8220 Glades Rd, Boca Raton, FL 33434-4006 | 2007-01-09 |
| 1508922733 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5900 W Glades Rd, Town Ctr Mall, Boca Raton, FL 33432-7203 | 2006-12-30 |
| 1538248414 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6000 Glades Rd Ste 1116, Boca Raton, FL 33431 | 2006-11-03 |
| 1356448435 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 555 N Federal Hwy, Boca Raton, FL 33432-3998 | 2006-09-20 |
| 1003913419 | Klassy Eyes Inc | Eyewear Supplier (Equipment, not the service) | Klassy Eyes Optical, 7050 W Palmetto Park Road Suite36, Boca Raton, FL 33433-3463 | 2006-09-20 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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.