WAL-MART STORES EAST, LP (NPI# 1588748602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588748602 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2614 |
| Practice Address |
5370 Allentown Pike Temple PA 19560-1200 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 6109390601 |
| Enumeration Date | 2006-10-25 |
| 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 30-2614 | 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 |
5370 ALLENTOWN PIKE |
| City | TEMPLE |
| State | PA |
| Zip Code | 19560-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528021284 | Richard P Christoph | Optometrist | 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 | 2006-04-11 |
| 1083215818 | Nayela Mohiuddin | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-11-06 |
| 1508467861 | Diane Luu | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-11-03 |
| 1093315731 | Nicholas Bonanni | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-10-30 |
| 1386244630 | Karna Jani | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-10-27 |
| 1356970552 | Jennifer D Rothenberger | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-04-08 |
| 1790314029 | Christine D Nguyen | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-04-07 |
| 1174814883 | Gerald T O'connell | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2011-04-28 |
| 1275824385 | Lorraine W Bottorf | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2011-04-22 |
| 1639268386 | Rite Aid of Pennsylvania Inc | Durable Medical Equipment & Medical Supplies | 5370 Allentown Pike, North Reading Plaza, Temple, PA 19560-1200 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1174691802 | Donna Marie Di Jinio | Dentist | 4729 Kutztown Road, Temple, PA 19560 | 2006-12-01 |
| 1437176252 | Muhlenberg Medical Associates | Internal Medicine | 4201 Kutztown Road, Temple, PA 19560 | 2006-07-16 |
| 1407839368 | Sailaja Musunuri | Psychiatry & Neurology | 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560 | 2005-11-23 |
| 1437625530 | Kelsey Sara Reich | Specialist/Technologist | 400 Sharp Ave, Laureldale, PA 19560 | 2018-10-17 |
| 1467597161 | Kidspeace National Centers, Inc. | Nursing Care | 704 Hay Rd, Temple, PA 19560 | 2007-02-20 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1568731784 | Amdent Ltd | Dentist | 5106 Allentown Pike, Temple, PA 19560-1212 | 2011-12-16 |
| Find all providers in zip 19560 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982098471 | Wal-mart Stores Texas, LLC | Technician/Technologist | 6801 W Adams Avenue, Temple, TX 76502 | 2015-03-24 |
| 1578872321 | Marvina Drozd | Technician/Technologist | 1408 S 31st St Ste B, Temple, TX 76504-6791 | 2010-09-28 |
| 1669563854 | Sam's Club Optical | Technician/Technologist | 5314 Allentown Pike, Temple, PA 19560-1249 | 2006-09-27 |
| 1902904469 | Wal-mart Stores Texas, Lp | Technician/Technologist | 3401 S 31st St, Temple, TX 76502-1902 | 2006-09-20 |
| 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.