WAL-MART STORES EAST, LP (NPI# 1386727501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386727501 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1453 |
| Practice Address |
2440 W Mason St Green Bay WI 54303-4711 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9204999897 |
| Enumeration Date | 2006-10-23 |
| 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 30-1453 | 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 |
2440 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902823057 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2440 W Mason St, Green Bay, WI 54303-4711 | 2006-07-16 |
| 1164021374 | Michael James Ziegeweid | Pharmacist | 2440 W Mason St, Green Bay, WI 54303-4711 | 2020-10-19 |
| 1295334613 | Tammy Lyberg | Pharmacist | 2440 W Mason St, Green Bay, WI 54303-4711 | 2020-10-19 |
| 1265031595 | Keith Wayne Herold | Pharmacist | 2440 W Mason St, Green Bay, WI 54303-4711 | 2020-10-19 |
| 1093313058 | Lindsey B Janowski | Pharmacist | 2440 W Mason St, Green Bay, WI 54303-4711 | 2020-10-13 |
| 1205434289 | Lisa Cichocki | Pharmacist | 2440 W Mason St, Green Bay, WI 54303-4711 | 2020-10-13 |
| 1831467703 | Eye See, LLC | Optometrist | 2440 W Mason St, Green Bay, WI 54303-4711 | 2011-12-07 |
| 1972780492 | Mary A Templin | Nurse Practitioner | 2440 W Mason St, Suite 3, Green Bay, WI 54303-4711 | 2008-01-28 |
| 1780873992 | Rebecca Lorraine Beaumia | Nurse Practitioner | 2440 W Mason St, Suite 3, Green Bay, WI 54303-4711 | 2007-10-24 |
| 1427079003 | Laurie Jean Larson | Optometrist | 2440 W Mason St, Green Bay, WI 54303-4711 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528033 | Cheryl M Robertson | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-06-25 |
| 1962063495 | Christina L Reek | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-06-25 |
| 1073994133 | Kim Tavener | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2015-06-15 |
| 1700202538 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1499 W Mason St, Green Bay, WI 54303-2233 | 2014-03-18 |
| 1346525573 | Vision Mart, Inc | Technician/Technologist | 2476 S Oneida St, Suite 105, Green Bay, WI 54304-5289 | 2011-10-19 |
| 1770756397 | Judy Winney | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-04-03 |
| 1962675587 | Karen Vandenhouten | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-04-03 |
| 1558409656 | Wisconsin Vision, Inc. | Technician/Technologist | 2158 W Mason St, Green Bay, WI 54303-4705 | 2007-02-01 |
| 1184707309 | Wal-mart Stores East, Lp | Technician/Technologist | 2292 Main St, Green Bay, WI 54311-5307 | 2006-10-23 |
| 1033214275 | Sam's Club Optical | Technician/Technologist | 2470 W Mason St, Green Bay, WI 54303-4711 | 2006-09-13 |
| Find all providers in GREEN BAY | ||||
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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.