WAL-MART STORES EAST LP (NPI# 1619227907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619227907 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART VISION CENTER 30-1926 |
| Practice Address |
341 State Route 104 Oswego NY 13126-2911 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3153426210 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| 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 30-1926 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
341 STATE ROUTE 104 |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629047840 | Daniel G. Pisacano | Optometrist | 341 State Route 104, Vision Center, Oswego, NY 13126-2911 | 2006-03-17 |
| 1346756087 | Brennan Wells | Technician/Technologist | 341 State Route 104, Oswego, NY 13126-2911 | 2017-12-18 |
| 1770023665 | Samantha Ciaramella | Pharmacist | 341 State Route 104, Oswego, NY 13126-2911 | 2017-02-27 |
| 1285819953 | Michael Edward Collins | Pharmacist | 341 State Route 104, Walmart Pharmacy, Oswego, NY 13126-2911 | 2007-12-31 |
| 1306863477 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 341 State Route 104, Oswego, NY 13126-2911 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| 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 |
|---|---|---|---|---|
| 1174795546 | For Eyes Optical of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 1500 Douglas Rd, Oswego, IL 60543-5108 | 2008-03-26 |
| 1114196706 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 2422 Route 34, Oswego, IL 60543 | 2008-02-27 |
| 1467622753 | Selma J. Sheridan Md | Eyewear Supplier (Equipment, not the service) | 209 W 7th St, Oswego, NY 13126-3676 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202495 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 339 Gateway Dr, Brooklyn, NY 11239-2805 | 2020-10-16 |
| 1386242360 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 184 W 237th St, Bronx, NY 10463-4102 | 2020-10-13 |
| 1740888718 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Graham Rd W, Ithaca, NY 14850-1055 | 2020-10-13 |
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1831797828 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 790 S Sunrise Hwy, Bellport, NY 11713-1557 | 2020-10-13 |
| 1407454481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Cir, Deer Park, NY 11729-7075 | 2020-10-13 |
| 1265030126 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 820-825 Pelham Pkwy, Pelham Manor, NY 10803 | 2020-10-13 |
| 1265030357 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 607 Old Country Rd, Riverhead, NY 11901-2103 | 2020-10-12 |
| 1356949598 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1752 Shore Pkwy, Brooklyn, NY 11214-6561 | 2020-10-10 |
| 1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
| 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.