WAL-MART STORES EAST, LP (NPI# 1326127937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326127937 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-5088 |
| Practice Address |
450 Stewart Ln Triadelphia WV 26059-1020 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 3045479017 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-02-22 |
| 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 |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-5088 | 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 |
450 STEWART LN |
| City | TRIADELPHIA |
| State | WV |
| Zip Code | 26059-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609965292 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2006-10-12 |
| 1770184749 | Aric Beihl | Pharmacist | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2020-11-05 |
| 1467712083 | Jude Thaddeus Sheets | Pharmacist | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2012-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104828 | Theodora Ferrell | Case Manager/Care Coordinator | 4681 Dallas Pike, Triadelphia, WV 26059 | 2020-08-13 |
| 1205226867 | Regina Demasi | Nurse Practitioner | 2596 Battle Run Road, Triadelphia, WV 26059 | 2015-02-03 |
| 1912192428 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 515 Cabela Dr, Triadelphia, WV 26059 | 2007-09-07 |
| 1053415422 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 22 National Rd, Triadelphia, WV 26059 | 2006-09-07 |
| 1144423385 | Triadelphia Volunteer Fire Department Inc | Ambulance | 292 National Road, Triadelphia, WV 26059-0015 | 2007-06-06 |
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1326121955 | West Virginia Cvs Pharmacy LLC | Pharmacy | 300 Cabela Dr, Triadelphia, WV 26059-1023 | 2006-10-24 |
| 1659668549 | Jodee Lynne Weghorst | Pharmacist | 300 Cabela Dr, T-2231, Triadelphia, WV 26059-1023 | 2011-06-30 |
| 1013201011 | Lisa Miehle | Pharmacist | 300 Cabela Dr, T2231 Pharmacy, Triadelphia, WV 26059-1023 | 2011-06-07 |
| 1548272388 | Ronald J Murphy | Physician Assistant | 502 Cabela Dr, Triadelphia, WV 26059-1044 | 2006-08-12 |
| Find all providers in zip 26059 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
| 1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
| 1871763862 | Wayne Dougherty Dba Wheeling Optical | Technician/Technologist | 1101 Market Street, Wheeling, WV 26003-2905 | 2008-03-05 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1033240429 | Wal-mart Stores East, L.p. | Technician/Technologist | 1 Tygart Valley Mall, Fairmont, WV 26554-3430 | 2007-03-08 |
| 1588711873 | Melvin Leroy Mckinney Sr. | Technician/Technologist | 605 Bland St, Bluefield, WV 24701 | 2007-01-05 |
| 1922178474 | Tea Vision Inc | Technician/Technologist | 5 Putnam Villiage, Teays, WV 25569 | 2006-11-09 |
| 1356410849 | Jennifer L Field | Technician/Technologist | 10565 Veterans Memorial Highway, Masontown, WV 26542-9577 | 2006-11-07 |
| 1598841827 | Wal-mart Stores East, Lp | Technician/Technologist | 6051 University Town Centre Dr., Morgantown, WV 26534 | 2006-10-30 |
| 1235210212 | Wal-mart Stores East, Lp | Technician/Technologist | 1881 Robert C Byrd Dr, Beckley, WV 25801-8355 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | TRIADELPHIA |
| Zip Code | 26059 |
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.