WAL-MART STORES, EAST, LP (NPI# 1649319401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649319401 |
Entity Type | Organization |
Organization Name | WAL-MART STORES, EAST, LP |
Other Organization Name | VISION CENTER 30-1993 |
Practice Address |
6265 Spencerport Rd Brockport NY 14420 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 5856376350 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. CHRISTY J HERBAUGH (MANAGER OPTICAL INSURANCE) |
Authorized Official Telephone | 4792779274 |
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 30-1993 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760885602 | Wal-mart Stores, East, Lp | Durable Medical Equipment & Medical Supplies | 934 Highway 79, Dover, TN 37058-5962 | 2014-10-07 |
1134268949 | Wal-mart Stores, East, Lp | Technician/Technologist | 425 Route 31, Macedon, NY 14502 | 2007-02-06 |
Street Address |
6265 SPENCERPORT RD |
City | BROCKPORT |
State | NY |
Zip Code | 14420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
Find all providers in zip 14420 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255847802 | Edward Renea Jett | Technician/Technologist | 6265 Brockport Spencerport Rd, Brockport, NY 14420 | 2017-12-19 |
1740350370 | Leelee Muesebeck | Technician/Technologist | 100 Main St, Brockport, NY 14420 | 2006-11-09 |
1710919923 | Alicia Marie Rich | Technician/Technologist | 300 West Ave, Brockport, NY 14420-1118 | 2006-07-07 |
1497787600 | Gina Marie Lippa | Technician/Technologist | 300 West Ave, Brockport, NY 14420-1118 | 2006-07-07 |
1235161100 | Jennifer Jeanne Proia-cessna | Technician/Technologist | 300 West Ave, Brockport, NY 14420-1118 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
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.