WAL-MART STORES, INC (NPI# 1285714329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285714329 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-2861 |
| Practice Address |
7319 W State St Boise ID 83714-6051 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2088530541 |
| Enumeration Date | 2006-10-16 |
| 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 30-2861 | 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 |
| Street Address |
7319 W STATE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83714-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267697 | Walmart Inc. | Pharmacy | 7319 W State St, Boise, ID 83714-6051 | 2006-07-16 |
| 1932518412 | Joanne Whittaker | Pharmacist | 7319 W State St, Boise, ID 83714-6051 | 2014-08-08 |
| 1881003754 | John Santana | Pharmacist | 7319 W State St, Boise, ID 83714-6051 | 2014-08-05 |
| 1942637335 | Parker R Brown | Pharmacist | 7319 W State St, Boise, ID 83714-6051 | 2013-10-01 |
| 1184925737 | Luke A. Randall Pllc | Optometrist | 7319 W State St, Boise, ID 83714-6051 | 2010-11-13 |
| 1720189608 | Craig Matthew Marley | Optometrist | 7319 W State St, Boise, ID 83714-6051 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467208 | Mathew Petersen | Technician/Technologist | 409 S 8th St, Boise, ID 83702-7142 | 2014-08-06 |
| 1588918676 | Sue Soroor Didehban | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2012-10-29 |
| 1508898065 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8641 W Franklin Rd, Boise, ID 83709-0632 | 2006-07-07 |
| 1477505485 | Shopko Stores Operating Co. LLC | Technician/Technologist | 2655 Broadway Ave, Boise, ID 83706-4721 | 2006-05-17 |
| 1982656096 | Shopko Stores Operating Co. LLC | Technician/Technologist | 8105 Fairview Ave, Boise, ID 83704-8486 | 2006-05-17 |
| 1003393653 | Teri Fullmer | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2018-07-26 |
| 1891290235 | Emerald Optics LLC | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2018-03-27 |
| 1164960084 | Jessi Jones-paisley | Technician/Technologist | 409 S 8th St, Boise, ID 83702-7142 | 2017-02-11 |
| 1386190411 | Marnee Overduyn | Technician/Technologist | 7905 W Ustick Rd, Ste E, Boise, ID 83704-5001 | 2016-08-29 |
| 1629420526 | Brad Linder | Technician/Technologist | 409 S 8th St Ste 101, Boise, ID 83702-7136 | 2016-07-05 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on WAL-MART STORES, INC.
| 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.