WAL-MART STORES EAST LP (NPI# 1366786774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366786774 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART VISION CENTER 30-4623 |
Practice Address |
6111 Jefferson Ave Newport News VA 23605 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 7578383186 |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |
Authorized Official Name | AMY POWERS (SPECIALIST, PLAN ENROLLMENT) |
Authorized Official Telephone | 4792040709 |
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 30-4623 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
Street Address |
6111 JEFFERSON AVE |
City | NEWPORT NEWS |
State | VA |
Zip Code | 23605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316105968 | Mila-jane Lovejoy | Pharmacist | 6111 Jefferson Ave, Newport News, VA 23605 | 2008-05-30 |
1598365645 | Brittany Webster | Pharmacist | 6111 Jefferson Ave, Newport News, VA 23605-1511 | 2020-10-28 |
1902406390 | Christine Gular | Pharmacist | 6111 Jefferson Ave, Newport News, VA 23605-1511 | 2020-10-27 |
1720688138 | Mulugeta W Berhe | Pharmacist | 6111 Jefferson Ave, Newport News, VA 23605-1511 | 2020-10-27 |
1487168027 | Tenesha A Bazemore O.d.p.c. | Optometrist | 6111 Jefferson Ave, Newport News, VA 23605-1511 | 2017-11-17 |
1144564782 | Wal-mart Stores East Lp | Pharmacy | 6111 Jefferson Ave, Newport News, VA 23605-1511 | 2012-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104165703 | First Choice Companion Service, LLC | In Home Supportive Care | 709 Austin Court, Newport News, VA 23605 | 2013-02-04 |
1679869036 | Sailaja Dandamudi | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2011-06-23 |
1619261633 | Pmr Meds | Specialist | 48 Newmarket Square, Newport News, VA 23605 | 2011-06-07 |
1073660189 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 New Market Drive North, Hampton, VA 23605 | 2007-01-04 |
1558702159 | Olisaemeka Ifejika Achike | Internal Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-07-11 |
1710220132 | Ashly Nicole Hardin | Family Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-04-03 |
1518222785 | Claire Han Li | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-07-12 |
1396016838 | Chang O Son | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-01-13 |
1407455595 | Maree Antonette Newby-sanders | Prosthetist | 10019 Jefferson Ave, Newport News, VA 23605-1044 | 2020-10-20 |
1386659332 | Walgreen Co | Pharmacy | 9976 Jefferson Ave, Newport News, VA 23605-1057 | 2006-07-29 |
Find all providers in zip 23605 |
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 |
---|---|---|---|---|
1255795472 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12090 Jefferson Ave, 1010, Newport News, VA 23606-4566 | 2016-04-13 |
1952632127 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 12733 Jefferson Ave, Newport News, VA 23602-4317 | 2010-01-27 |
1033288709 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 12300 Jefferson Ave Ste 904, Newport News, VA 23602-0020 | 2006-11-07 |
1023127800 | James River Optical LLC | Eyewear Supplier (Equipment, not the service) | 704 Thimble Shoals Bvd, #100, Newport News, VA 23606 | 2006-08-29 |
1770594533 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 12300 Jefferson Ave, Suite 500, Newport News, VA 23602 | 2006-08-10 |
1962449348 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 12401 Jefferson Ave, Newport News, VA 23602-4311 | 2006-06-02 |
1558745000 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2015-07-15 |
1003200353 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12121 Jefferson Ave, Newport News, VA 23602-6916 | 2015-03-25 |
1073684387 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12733 Jefferson Ave, Newport News, VA 23602-4317 | 2006-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224651 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7378 Bell Creek Rd, Mechanicsville, VA 23111-3545 | 2020-10-26 |
1689272650 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6607 Wilson Blvd, Falls Church, VA 22044-3311 | 2020-10-13 |
1588262729 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2000 Power Plant Pkwy, Hampton, VA 23666-3155 | 2020-10-10 |
1760098370 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 14123 Noblewood Plz, Woodbridge, VA 22193-1400 | 2020-09-18 |
1134772023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1449 Tomcat Blvd Bldg 292, Virginia Beach, VA 23460-2177 | 2019-07-19 |
1740841444 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2920 District Ave Ste 130, Fairfax, VA 22031-4481 | 2019-06-24 |
1093371841 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4238 Wilson Blvd Ste 1220, Arlington, VA 22203-1833 | 2019-05-17 |
1407411770 | Focus Optical Boutique LLC | Eyewear Supplier (Equipment, not the service) | 232 Mason Ave, Cape Charles, VA 23310 | 2019-05-02 |
1821557752 | Dhls Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6343 Columbia Pike, Falls Church, VA 22041-1243 | 2019-03-19 |
1639646987 | Infinity Eyecare of Danville Inc. | Eyewear Supplier (Equipment, not the service) | 349 Piney Forest Rd Ste A, Danville, VA 24540-4121 | 2018-10-25 |
Find all providers with the same taxonomy |
City | NEWPORT NEWS |
Zip Code | 23605 |
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.