WAL-MART STORES, INC. (NPI# 1568879419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568879419 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WAL-MART VISION CENTER 30-4865 |
| Practice Address |
5200 W 60th Street N Sioux Falls SD 57107-6504 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6059066080 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |
| Authorized Official Name | MS. LAURA LEVINE (DIRECTOR OF GOVERNMENT CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-4865 | 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 |
| 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 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
5200 W 60TH STREET N |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57107-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962991232 | Danae Lynn Mutchelknaus | Counselor | 57107, Sioux Falls, SD 57107 | 2018-05-02 |
| 1588819783 | Brookings Family Planning | Clinic/Center | 1440 N Campus Dr, Wellness Center, Brookings, SD 57107-0001 | 2008-12-02 |
| 1194797423 | Dawn M Peterson | Physician Assistant | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-02-02 |
| 1861894651 | Mary Wipf | Physician Assistant | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2014-09-23 |
| 1710249248 | Muna Ashraf | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2012-06-11 |
| 1457648149 | Avera Mckennan | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2011-07-01 |
| 1770719122 | Kirsten H Stotz | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2009-05-29 |
| 1447441647 | Demetre P Skliris | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2007-08-05 |
| 1063480390 | Shawn R Culey | Family Medicine | 4011 W Benson Rd, Sioux Falls, SD 57107-0104 | 2006-03-11 |
| 1730624297 | Nicole Adams | Spec/Tech, Cardiovascular | 6308 W 10th St, Sioux Falls, SD 57107-0404 | 2016-12-19 |
| Find all providers in zip 57107 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989006 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3330 E 10th St, Sioux Falls, SD 57103-2107 | 2020-03-30 |
| 1780082628 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3501 W 41st St Ste A, Sioux Falls, SD 57106-0799 | 2014-12-09 |
| 1679850291 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 850 W Empire Mall, Sioux Falls, SD 57106-6512 | 2011-11-10 |
| 1881911964 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3400 Empire Mall, Sioux Falls, SD 57106-0720 | 2010-04-28 |
| 1518158815 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 3109 W 41st St Ste 115, Sioux Falls, SD 57105-8142 | 2007-08-05 |
| 1255486346 | Tkc Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 2510 S Louise Ave, Sioux Falls, SD 57106-4331 | 2007-01-25 |
| 1518012343 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 510 W Empire Mall, Sioux Falls, SD 57106 | 2007-01-24 |
| 1720177801 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 4001 West 41st Street, Suite 952, Sioux Falls, SD 57106 | 2006-10-12 |
| 1073622924 | Precision Vision Inc | Eyewear Supplier (Equipment, not the service) | 1850 W Empire Mall, Sioux Falls, SD 57106-6522 | 2006-08-30 |
| 1235248113 | Precision Vision, Inc | Eyewear Supplier (Equipment, not the service) | 1616 S Sycamore Ave, Sioux Falls, SD 57110-4204 | 2006-08-30 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57107 |
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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.