WAL-MART STORES EAST, LP (NPI# 1376623710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376623710 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2122 |
| Practice Address |
30 Memorial Dr Avon MA 02322-1919 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 5084279460 |
| Enumeration Date | 2006-10-17 |
| 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 30-2122 | 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 |
30 MEMORIAL DR |
| City | AVON |
| State | MA |
| Zip Code | 02322-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002063 | Christine Pham | Pharmacist | 30 Memorial Dr, Avon, MA 02322-1919 | 2020-10-28 |
| 1508321324 | Lindsay Wilson | Pharmacist | 30 Memorial Dr, Avon, MA 02322-1919 | 2019-02-06 |
| 1508938655 | Yin Yin Yuen | Optometrist | 30 Memorial Dr, Avon, MA 02322-1919 | 2006-11-14 |
| 1467479758 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 30 Memorial Dr, Avon, MA 02322-1919 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942478284 | Wendy Champagnie Williams | Social Worker | 185 North Main Street, Avon, MA 02322 | 2008-02-20 |
| 1952521395 | Bruce Mitchell Doyle | Dentist | 255 West Main St, Avon, MA 02322 | 2007-04-26 |
| 1720112527 | Town of Avon | Local Education Agency (LEA) | 12 Patrick Clark Drive, Avon, MA 02322 | 2007-03-15 |
| 1033229653 | Costco Wholesale Corporation | Pharmacy | 120 Stockwell Dr, Avon, MA 02322 | 2006-08-30 |
| 1649319476 | Grow-associates, Inc. | Day Training, Developmentally Disabled Services | 101 Wales Ave, Avon, MA 02322-1006 | 2007-02-06 |
| 1659377802 | Premier Diagnostic Services, Inc. | Radiologic Technologist | 54 Bodwell St, Suite C, Avon, MA 02322-1111 | 2005-06-22 |
| 1134307408 | Premier Diagnostic Services Inc 2 | Technician, Cardiology | 54 Bodwell St, Rear, Avon, MA 02322-1111 | 2008-02-08 |
| 1891181897 | Costco Wholesale Corporation | Hearing Aid Equipment | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-04-07 |
| 1639563836 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-03-25 |
| 1922345321 | Cathleen Ellen Brien | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2013-01-07 |
| Find all providers in zip 02322 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093233306 | Robin P Wiley | Technician/Technologist | 3643 Countryside Ln, Avon, OH 44011-2623 | 2017-09-07 |
| 1972806545 | America's Best Contacts & Eyeglasses | Technician/Technologist | 35825 Detroit Rd Ste 109, Avon, OH 44011-3001 | 2010-12-21 |
| 1487956579 | Laurie C. Schreiber | Technician/Technologist | 51 Oak St, Avon, NY 14414-1318 | 2010-11-23 |
| 1326121039 | Wal-mart Stores, Inc. | Technician/Technologist | 171 Yoder Avenue, Avon, CO 81620 | 2006-10-24 |
| 1659453777 | Wal-mart Stores East, Lp | Technician/Technologist | 9500 E Us Highway 36, Avon, IN 46123-7366 | 2006-10-19 |
| 1508946120 | Wal-mart Stores East, Lp | Technician/Technologist | 35901 Chester Rd, Avon, OH 44011-1069 | 2006-10-17 |
| 1336245158 | Usv Optical Inc. | Technician/Technologist | 38292 Colorado Ave, Avon, OH 44011-1002 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1609491331 | David Miller | Technician/Technologist | 10 Merrimack St, Lowell, MA 01852-1722 | 2020-06-09 |
| 1538718796 | Lauren Downey | Technician/Technologist | 40 Industrial Park Rd # 202, Plymouth, MA 02360-4884 | 2019-09-10 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
| 1144720301 | See South End Inc | Technician/Technologist | 681 Tremont St Unit 1, Boston, MA 02118-1281 | 2018-02-14 |
| 1528570702 | Michael Josef Leduc | Technician/Technologist | 73 Home St Apt 1, Fall River, MA 02720-5315 | 2017-10-28 |
| 1235649955 | Nickolas Linna | Technician/Technologist | 120 East St, Ludlow, MA 01056-3409 | 2017-10-08 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| Find all providers with the same taxonomy | ||||
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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.