WAL-MART STORES, INC. (NPI# 1508914227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508914227 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-3848 |
| Practice Address |
2228 W 1700 S Syracuse UT 84075 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8017759884 |
| Practice Fax Number | 8017759886 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. G WESLEY CRAINSHAW III (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771850 |
| 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 30-3848 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
2228 W 1700 S |
| City | SYRACUSE |
| State | UT |
| Zip Code | 84075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013072123 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2228 W 1700 S, Syracuse, UT 84075-7126 | 2006-12-27 |
| 1982204319 | Jay Mason | Pharmacist | 2228 W 1700 S, Syracuse, UT 84075-7126 | 2020-10-26 |
| 1174047377 | Trevor Southwick | Pharmacist | 2228 W 1700 S, Syracuse, UT 84075 | 2017-07-29 |
| 1700313236 | Ryan T Barlow Od LLC | Optometrist | 2228 W 1700 S, Syracuse, UT 84075-7126 | 2017-05-15 |
| 1427408640 | Ryan Toone Barlow | Optometrist | 2228 W 1700 S, Syracuse, UT 84075-7126 | 2016-06-18 |
| 1417396441 | Bcf Group LLC | Clinic/Center | 2228 W 1700 S, Syracuse, UT 84075-7126 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750775235 | Syracuse Assisted Living Phase I | Assisted Living Facility | 2063 W. 1900 S., Syracuse, UT 84075 | 2015-03-24 |
| 1881975464 | Norman Kent Sharp II | Dentist | 1662 S 2000 W Ste A1, Syracuse, UT 84075 | 2011-09-08 |
| 1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1679799902 | Nathan Wesley Elmore | Chiropractor | 1842 South 2000 West, Syracuse, UT 84075 | 2007-04-17 |
| 1972635332 | Aspen Institute for Behavioral Assessment | Psychiatric Residential Treatment Facility | 2732 W 2700 S, Syracuse, UT 84075 | 2007-03-12 |
| 1427111558 | Sheldon L Peck | Dentist | 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 | 2006-12-19 |
| 1811081771 | Tyler R Elmore | Chiropractor | 1013 W 2700 S, Syracuse, UT 84075 | 2006-10-03 |
| 1235247438 | Brett R Coleman | Dentist | 780 S 2000 W, Bldg E304, Syracuse, UT 84075 | 2006-08-28 |
| 1164431177 | Kipton Jay Norris | Dentist | 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 | 2006-08-07 |
| Find all providers in zip 84075 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073803565 | Steven P Jannen | Technician/Technologist | 4952 Elgin Cir, Syracuse, NY 13215-2261 | 2011-04-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1861611501 | James L Morrison | Technician/Technologist | 989 James St, Syracuse, NY 13203-2610 | 2007-04-24 |
| 1750417879 | Kevin R. Bryant | Technician/Technologist | 2138 W Genesee St, Syracuse, NY 13219-1616 | 2007-02-25 |
| 1316963341 | James T Hallinan | Technician/Technologist | 3554 W Genesee St, Syracuse, NY 13219-2011 | 2006-07-14 |
| 1336709518 | Stacey Lorraine Nutting | Technician/Technologist | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2019-06-19 |
| 1497048821 | Michael Thomas Hutchins | Technician/Technologist | 819 S Salina St, Syracuse, NY 13202-3527 | 2011-05-18 |
| 1639347065 | Darleen Kay Stoudemire | Technician/Technologist | 2901 Court St, Syracuse, NY 13208-3217 | 2008-02-19 |
| 1376682112 | Mchael Sebastian Gzik | Technician/Technologist | 116 E Washington St, Syracuse, NY 13202-1618 | 2007-02-06 |
| Find all providers in SYRACUSE | ||||
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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.