WAL-MART STORES EAST, LP (NPI# 1235212929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235212929 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1530 |
| Practice Address |
710 N Davis Ave Cleveland MS 38732-2102 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6628436567 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-1530 | 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 |
710 N DAVIS AVE |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528085933 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 710 N Davis Ave, Cleveland, MS 38732-2102 | 2006-07-16 |
| 1891396040 | Laura Griffin | Pharmacist | 710 N Davis Ave, Cleveland, MS 38732-2102 | 2020-11-04 |
| 1437750692 | Gary Stewart Mason | Pharmacist | 710 N Davis Ave, Cleveland, MS 38732-2102 | 2020-11-04 |
| 1700487980 | James Mcgary IIi | Pharmacist | 710 N Davis Ave, Cleveland, MS 38732-2102 | 2020-11-04 |
| 1689275711 | Sydney Whittle Williamson | Pharmacist | 710 N Davis Ave, Cleveland, MS 38732-2102 | 2020-11-04 |
| 1508871195 | Jasmine Donnette Shipp | Optometrist | 710 N Davis Ave, Cleveland, MS 38732-2102 | 2006-07-30 |
| 1730194358 | Shipp Family Eyecare, Pllc | Optometrist | 710 N Davis Ave, Cleveland, MS 38732-2102 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447650650 | Mum-ford Inc | Technician/Technologist | 6129 Saint Clair Ave, Cleveland, OH 44103-1627 | 2014-08-26 |
| 1588930127 | Joseph D Colini | Technician/Technologist | 4320 Pearl Rd, Cleveland, OH 44109-4209 | 2012-03-28 |
| 1063713980 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3061 Westgate, Cleveland, OH 44126-1308 | 2010-11-09 |
| 1164686267 | North Park Optical | Technician/Technologist | 20670 N Park Blvd, Cleveland, OH 44118-4519 | 2008-07-17 |
| 1689852519 | Cleveland Optical Inc | Technician/Technologist | 802 1st St, Cleveland, MS 38732-2310 | 2008-02-01 |
| 1679690929 | William A. Berris | Technician/Technologist | 2183 S Green Rd, Cleveland, OH 44121-3313 | 2007-03-23 |
| 1215052493 | Jeffery Lee Leonard | Technician/Technologist | 2733 Keith St., Cleveland, TN 37311 | 2007-03-20 |
| 1346384351 | Aaron L Wilson | Technician/Technologist | 913 Keith St Nw, Cleveland, TN 37311-1804 | 2007-02-16 |
| 1932247996 | Jerold Optical Inc. | Technician/Technologist | 800 Huron Rd E, Cleveland, OH 44115-1121 | 2007-02-02 |
| 1194825893 | Sam's Club Optical | Technician/Technologist | 10250 Brookpark Road, Cleveland, OH 44130-1106 | 2006-09-22 |
| Find all providers in CLEVELAND | ||||
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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.