WAL-MART STORES EAST, LP (NPI# 1396827887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396827887 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-3253 |
Practice Address |
108 Washington Towne Blvd Edinboro PA 16412-1254 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 8147340900 |
Enumeration Date | 2006-10-20 |
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 30-3253 | 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 |
108 WASHINGTON TOWNE BLVD |
City | EDINBORO |
State | PA |
Zip Code | 16412-1254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841344686 | Donald Edward Snyder | Optometrist | 108 Washington Towne Blvd, Wal Mart Vision Center, Edinboro, PA 16412 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183137 | Ashley B Barnett | Specialist/Technologist | 455 Scotland Road, Edinboro, PA 16412 | 2020-01-09 |
1083101901 | Kelly Anne Bruce | Specialist/Technologist | 11700 Edinboro Rd, Edinboro, PA 16412 | 2018-04-16 |
1922477389 | Keyara Kelly | Specialist/Technologist | 5550 Crane Road, Edinboro, PA 16412 | 2015-09-16 |
1366721425 | Pamer Family Chiropractic & Wellness | Chiropractor | 11700 Edinboro Rd., Edinboro, PA 16412 | 2011-08-08 |
1568629335 | Lake Erie Dental Inc | Dentist | 106 Waterford Street, Edinboro, PA 16412 | 2008-05-20 |
1902007099 | Margaret Burke Kessler | Counselor | 124 Meadville St Ste 105, Edinboro, PA 16412 | 2007-05-29 |
1134255516 | James Turner Bolard | Optometrist | 103 Erie St, Edinboro, PA 16412 | 2007-02-27 |
1164917696 | Deveshi Chandan | Dentist | 606 Erie St, Edinboro, PA 16412 | 2018-06-27 |
1104291384 | Gina Demarco Smith | Occupational Therapist | 419 Waterford Street, Edinboro, PA 16412 | 2015-12-14 |
1194134312 | Summer Renae Payer | Massage Therapist | 201a Waterford St, Edinboro, PA 16412 | 2014-08-13 |
Find all providers in zip 16412 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740653252 | Anthony Simmons | Technician/Technologist | 220 W Plum St Ste 310, Edinboro, PA 16412-2166 | 2015-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
Find all providers with the same taxonomy |
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.