WAL-MART STORES EAST LP (NPI# 1588904593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588904593 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART VISION CENTER 30-3119 |
Practice Address |
15495 Panama City Beach Pky Panama Beach City FL 32413 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 8507086971 |
Mailing Telephone | 4792043675 |
Enumeration Date | 2013-02-28 |
Last Update Date | 2013-02-28 |
Authorized Official Name | MS. SARIAN GRIDER (SPECIALIST PLAN ENROLLMENT) |
Authorized Official Telephone | 4792046375 |
Is Organization Subpart | Y |
Parent Organization Name | WAL-MART STORES EAST LP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 156F00000X | Technician/Technologist | Eye and Vision Services Providers | ||
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
Wal-Mart Vision Center 30-3119 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
Street Address |
15495 PANAMA CITY BEACH PKY |
City | PANAMA BEACH CITY |
State | FL |
Zip Code | 32413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023416161 | Amy Rebecca Robertson | Psychologist | 21903 Panama City Beach Pkwy Psychfittness, Panama City Beach, FL 32413 | 2014-12-05 |
1326454786 | Journeypure Panhandle LLC | Substance Abuse Rehabilitation Facility | 22219 Panama City Beack Pkwy, Panama City Beach, FL 32413 | 2014-07-07 |
1588087985 | The Sobriety Center LLC | Clinic/Center | 221 San Vincente St, Panama City Beach, FL 32413 | 2014-01-22 |
1518178334 | Kennon Dental Associates Pa | Dentist | 2309 St Andrews, #b, Panama City, FL 32413 | 2007-05-24 |
1912050162 | Medical Services of Northwest Florida | Home Health | 17208 Back Beach Road, Panama City, FL 32413 | 2007-01-19 |
1467511840 | Frederick G Klepes Jr. | Dentist | 15450 Panama City Beach Pwky, Panama City Beach, FL 32413 | 2006-12-08 |
1013956572 | William Alan Woolery | Emergency Medicine | 11111 Panama City Beach Parkway, Panama City Beach, FL 32413 | 2006-06-06 |
1235125915 | Patsy Regina Merritt | Physical Therapist | 16201 Panama City Beach Pkwy Ste A, Panama City Beach, FL 32413 | 2005-09-27 |
1649716408 | Cynda St Cere | Nurse Practitioner | 23040 Panama City Beach Pkwy, Panama City Beach, FL 32413 | 2017-01-17 |
1457754301 | Afc Physicians of Florida, P.a. | Internal Medicine | 15415 Panama City Beach Parkway, Panama City, FL 32413-0000 | 2014-10-07 |
Find all providers in zip 32413 |
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 |
---|---|---|---|---|
1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
Find all providers with the same taxonomy |
City | PANAMA BEACH CITY |
Zip Code | 32413 |
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.