WAL-MART STORES INC. (NPI# 1508929696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508929696 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES INC. |
| Other Organization Name | WAL-MART VISION CENTER 30-3525 |
| Practice Address |
16502 Meridian Ave. E. Puyallup WA 98375 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2534461760 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BJ RICE (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792779835 |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-3525 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417261207 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 7101 E 128th St., Thornton, CO 80221 | 2010-08-04 |
| 1235314956 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 2445 Illinois Route 27 So. Rd., Freeport, IL 61032 | 2007-12-31 |
| 1184707697 | Wal-mart Stores Inc. | Technician/Technologist | 2285 East Ken Pratt Blvd, Longmont, CO 80504 | 2006-10-20 |
| 1548415516 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 5565 20th St, Vero Beach, FL 32966-4632 | 2008-11-18 |
| 1194970244 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2008-11-17 |
| 1548466717 | Wal-mart Stores Inc. | Technician/Technologist | 659 Knox Square Dr, Galesburg, IL 61401 | 2007-06-25 |
| Street Address |
16502 MERIDIAN AVE. E. |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992925911 | Charles Lewis Jobe | Technician/Technologist | 13909 Meridian E Ste A4, Puyallup, WA 98373-9180 | 2007-05-01 |
| 1124526900 | Melanie Lynn Duncan | Technician/Technologist | 3500 S Meridian Ste 926, Puyallup, WA 98373-3722 | 2018-01-26 |
| 1336421668 | Rainier Sight and Sound,inc | Technician/Technologist | 12623 Meridian E Ste B1a, Puyallup, WA 98373-3475 | 2011-09-13 |
| 1831302223 | Willows Optical Shop Inc. | Technician/Technologist | 13909 Meridian E, Suite A-4, Puyallup, WA 98373-9180 | 2007-05-08 |
| 1083739759 | Lisa Malone | Technician/Technologist | 12623 Meridian E, B1-a, Puyallup, WA 98373-3469 | 2007-03-20 |
| 1144310483 | Wal-mart Stores, Inc | Technician/Technologist | 310 31st Ave Se, Puyallup, WA 98374-1232 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| 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.