WAL-MART STORES EAST, LP (NPI# 1659453843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659453843 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0733 |
| Practice Address |
3501 20th Ave Valley AL 36854-3206 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 3347682118 |
| Enumeration Date | 2006-10-19 |
| 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 30-0733 | 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 |
3501 20TH AVE |
| City | VALLEY |
| State | AL |
| Zip Code | 36854-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722201 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3501 20th Ave, Valley, AL 36854-3206 | 2006-07-16 |
| 1043740756 | William Wesley Dunn | Pharmacist | 3501 20th Ave, Valley, AL 36854-3206 | 2017-06-14 |
| 1043749831 | Clair Barnett Riggs | Pharmacist | 3501 20th Ave, Valley, AL 36854-3206 | 2017-06-06 |
| 1427586569 | Linda Lynn Sellers | Pharmacist | 3501 20th Ave, Valley, AL 36854-3206 | 2017-06-02 |
| 1144758202 | Jeremy Powers | Pharmacist | 3501 20th Ave, Valley, AL 36854-3206 | 2017-06-01 |
| 1346618907 | Doublevision Eye Care LLC | Optometrist | 3501 20th Ave, Valley, AL 36854-3206 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619455516 | East Alabama Water, Sewer, & Fire Protection District | Ambulance | 150 Fob James Drive, Valley, AL 36854 | 2018-08-02 |
| 1962706960 | Lanier Internal Medicine | Internal Medicine | #2 - 48th Street, Valley, AL 36854 | 2011-01-05 |
| 1265600977 | Swaroop N Nyshadham Md | Surgery | 4503 20th Ave, Valley, AL 36854 | 2008-02-15 |
| 1992854731 | Chambers County Health Dept-lafayette Mat | Public Health or Welfare | 5 North Medical Park Dr., Valley, AL 36854 | 2007-01-10 |
| 1013096858 | Fernando Sanchez | Surgery | 21 Medical Pk, Valley, AL 36854 | 2006-11-03 |
| 1467548719 | City of Valley Ems | Ambulance | 20 Fob James Dr., Valley, AL 36854 | 2006-10-05 |
| 1740371954 | V Gopikrishna Reddy | Internal Medicine | 1 48th Street, Valley, AL 36854 | 2006-09-27 |
| 1427153899 | Total Respiratory Medications, Inc. | Durable Medical Equipment & Medical Supplies | 4506 20th Ave., Valley, AL 36854 | 2006-09-13 |
| 1760454631 | Chattahoochee Hospice Inc | Hospice Care, Community Based | 6 Medical Park North, Valley, AL 36854 | 2006-02-06 |
| 1417947565 | Rebecca Kay Murphy | Speech-Language Pathologist | 40800 48th St, Valley, AL 36854 | 2005-10-28 |
| Find all providers in zip 36854 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
| 1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
| 1922575448 | National Vision Inc | Technician/Technologist | 1320 Mcfarland Blvd E Ste 560, Tuscaloosa, AL 35404-5899 | 2018-11-02 |
| 1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
| 1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1891237103 | Stephen A Michael | Technician/Technologist | 1805 N Mckenzie St, Foley, AL 36535-2326 | 2016-11-17 |
| 1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
| 1366802175 | National Vision, Inc. | Technician/Technologist | 2798 John Hawkins Pkwy, Ste 112, Hoover, AL 35244-3109 | 2016-03-07 |
| 1588031413 | Chris Montz | Technician/Technologist | 23050 Mcauliffe Dr, Robertsdale, AL 36567-3122 | 2015-08-26 |
| 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.