WAL-MART STORES EAST, LP (NPI# 1528140449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528140449 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-1304 |
Practice Address |
2501 Walton Blvd Warsaw IN 46582-6500 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 5742697811 |
Enumeration Date | 2006-10-19 |
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 30-1304 | 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 |
2501 WALTON BLVD |
City | WARSAW |
State | IN |
Zip Code | 46582-6500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114944428 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2501 Walton Blvd, Warsaw, IN 46582-6500 | 2006-07-16 |
1326649823 | Julie Delucenay | Pharmacist | 2501 Walton Blvd, Warsaw, IN 46582-6500 | 2020-11-03 |
1609476084 | Megan Kathleen Granger | Pharmacist | 2501 Walton Blvd, Warsaw, IN 46582-6500 | 2020-10-27 |
1841890233 | Stephanie Nicole Goss | Pharmacist | 2501 Walton Blvd, Warsaw, IN 46582-6500 | 2020-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
1376039909 | Apex Dental Studio, Inc | Dentist | 2528 Walton Blvd, Warsaw, IN 46582 | 2018-07-06 |
1386058428 | Mcarthur Mental Health Services | Counselor | 3201 E. Center St. Ext., Warsaw, IN 46582 | 2014-06-17 |
1558524918 | Vicki L Fisher | Hearing Instrument Specialist | 3165 E Center Street, Warsaw, IN 46582 | 2008-07-07 |
1881806024 | Lynn Marie Desjardins | Physical Therapist | 900 Provident, Warsaw, IN 46582 | 2007-05-03 |
1457575029 | Wayne Allen Hogenson | Chiropractor | 3701 E Center St, Warsaw, IN 46582 | 2007-04-12 |
1699718940 | Caitlin J Ryser | Obstetrics & Gynecology | 1355 Mariners Dr, Warsaw, IN 46582 | 2006-06-14 |
1609952993 | Hancock Regional Hospital | Skilled Nursing Facility | 2695 Sheldon Street, Warsaw, IN 46582-0000 | 2006-10-29 |
1063964724 | Elisa Kay Mcpherson | Dietitian, Registered | 2838 Ivywood Dr, Warsaw, IN 46582-1929 | 2016-10-28 |
1760551485 | Cardinal Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2501 Glad St, Warsaw, IN 46582-1946 | 2006-11-07 |
Find all providers in zip 46582 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750627782 | Kenneth Wayne Mckeand | Technician/Technologist | 1401 E Center St, Warsaw, IN 46580-3525 | 2012-12-19 |
1285961003 | Hope Optical Inc. | Technician/Technologist | 713 South Buffalo Street, Warsaw, IN 46580-4312 | 2009-11-16 |
1619037256 | Warsaw Opticians, Inc . | Technician/Technologist | 2447 State Route 19 N, Warsaw, NY 14569-9336 | 2006-12-12 |
1457858763 | Jonathan David Scroger | Technician/Technologist | 2469 State Route 19 N, Warsaw, NY 14569-9336 | 2018-04-12 |
1750598801 | The Spectacle Shoppe, Inc. | Technician/Technologist | 2314 Dubois Dr, Warsaw, IN 46580-3213 | 2007-05-17 |
1962479949 | University Optical Corp | Technician/Technologist | 2469 State Route 19 N, Warsaw, NY 14569-9336 | 2006-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689210296 | Vision Mart Eye Center, Inc. | Technician/Technologist | 4684 S Us Hwy 41, Terre Haute, IN 47802-5404 | 2019-11-19 |
1700323508 | National Vision, Inc. | Technician/Technologist | 171 Us 41, Schererville, IN 46375 | 2017-01-31 |
1033575824 | National Vision, Inc. | Technician/Technologist | 16787 Clover Rd, Noblesville, IN 46060-3646 | 2016-01-08 |
1346664745 | Phillip Thomas | Technician/Technologist | 102 Hillside Cir, Charlestown, IN 47111-1007 | 2014-02-06 |
1114277597 | Sams East Inc | Technician/Technologist | 3819 State Road 26 E, Lafayette, IN 47905-4872 | 2012-09-13 |
1821372665 | Jedeye LLC | Technician/Technologist | 2005 Diplomat Ln, Kokomo, IN 46902-3298 | 2011-09-28 |
1457650335 | Brownell Norman Payne Jr. | Technician/Technologist | 1537 Greer Dell Rd, Indianapolis, IN 46260-4427 | 2011-03-18 |
1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
1750607909 | Eyes 2020 Inc. | Technician/Technologist | 3757 E Main St, Richmond, IN 47374-3614 | 2010-04-13 |
1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
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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.