WAL-MART STORES, INC. (NPI# 1619345923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619345923 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WALMART VISION CENTER 30-5626 |
| Practice Address |
1260 E Tucson Marketplace Blvd Tucson AZ 85713-6508 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5209170319 |
| Practice Fax Number | 5206222843 |
| Mailing Telephone | 4792582115 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | DEB LAUVER (SPECIALIST PLAN ENROLLMENT) |
| Authorized Official Telephone | 4792582115 |
| 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 |
|---|---|
| Walmart Vision Center 30-5626 | 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 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
1260 E TUCSON MARKETPLACE BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610857 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1260 E Tucson Marketplace Blvd, Tucson, AZ 85713-6508 | 2012-08-31 |
| 1952755449 | Nguyen Eye Care, Pllc | Optometrist | 1260 E Tucson Marketplace Blvd, Tucson, AZ 85713-6508 | 2016-04-20 |
| 1417354291 | Tamara Pando | Pharmacist | 1260 E Tucson Marketplace Blvd, Tucson, AZ 85713-6508 | 2014-11-22 |
| 1154726594 | Melissa Ann Gomez | Pharmacist | 1260 E Tucson Marketplace Blvd, Tucson, AZ 85713-6508 | 2014-10-28 |
| 1841693462 | Walmart | Pharmacy | 1260 E Tucson Marketplace Blvd, Tucson, AZ 85713-6508 | 2014-09-28 |
| 1215379920 | Juliana Camelo | Pharmacist | 1260 E Tucson Marketplace Blvd, Tucson, AZ 85713-6508 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| 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 |
|---|---|---|---|---|
| 1114378528 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5850 E Broadway Blvd, Tucson Park Place-lc Macy's, Tucson, AZ 85711-3902 | 2016-06-27 |
| 1215295209 | Us Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5265 S Calle Santa Cruz, Tucson, AZ 85706-3962 | 2012-04-26 |
| 1962793612 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 9615 E Old Spanish Trail, Tucson, AZ 85748-7540 | 2011-04-29 |
| 1134427164 | Catalina Eye Care PC | Eyewear Supplier (Equipment, not the service) | 4021 E Sunrise Dr, Ste 121, Tucson, AZ 85718-4332 | 2011-02-28 |
| 1104075050 | Tom Sowash Od & Associates P C | Eyewear Supplier (Equipment, not the service) | 5271 S Calle Santa Cruz, Tucson, AZ 85706-3557 | 2008-09-16 |
| 1962692186 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 3844 E 5th St, Tucson, AZ 85716-5145 | 2007-07-25 |
| 1366569766 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4747 E Sunrise Dr, Tucson, AZ 85718-8500 | 2007-03-23 |
| 1154477883 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3785 N. Oracle Road, Tucson, AZ 85705 | 2007-01-26 |
| 1043366586 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4500 N Oracle Rd Ste 423, Tucson, AZ 85705 | 2007-01-26 |
| 1124173604 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4545 N Oracle Rd Ste 101, Tucson, AZ 85705-1781 | 2007-01-24 |
| Find all providers in TUCSON | ||||
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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.