WAL-MART STORES EAST, LP (NPI# 1679658512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679658512 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2740 |
| Practice Address |
19910 Bruce B Downs Blvd Tampa FL 33647-2446 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 8139946543 |
| Enumeration Date | 2006-10-26 |
| 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 30-2740 | 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 |
19910 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215954615 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 19910 Bruce B Downs Blvd, Tampa, FL 33647-2446 | 2006-07-16 |
| 1063013324 | Lakir Suresh Patel | Pharmacist | 19910 Bruce B Downs Blvd, Tampa, FL 33647-2446 | 2020-11-03 |
| 1336782051 | Bhakti Patel | Pharmacist | 19910 Bruce B Downs Blvd, Tampa, FL 33647-2446 | 2019-10-25 |
| 1962617043 | Michael Andrew Cook | Optometrist | 19910 Bruce B Downs Blvd, Tampa, FL 33647-2446 | 2007-05-11 |
| 1922108729 | Holly A Hodge | Internal Medicine | 19910 Bruce B Downs Blvd, Tampa, FL 33647-2446 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096661 | Optical District LLC | Technician/Technologist | 4040 W Waters Ave Ste 106, Tampa, FL 33614-8133 | 2019-04-11 |
| 1790241255 | National Vision Inc | Technician/Technologist | 8456 W Hillsborough Ave, Tampa, FL 33615-3808 | 2019-02-20 |
| 1326566514 | Nationwide Vision Center, Inc. | Technician/Technologist | 8102 Citrus Park Town Center Mall, Inside Jcpenney, Tampa, FL 33625-3181 | 2017-09-07 |
| 1700318045 | National Vision, Inc | Technician/Technologist | 1541 S Dale Mabry Hwy, Tampa, FL 33629-5808 | 2017-03-28 |
| 1447316146 | Britton Plaza Vision Center | Technician/Technologist | 3802 Britton Plz # A, Tampa, FL 33611-1406 | 2006-12-28 |
| 1326130519 | Wal-mart Stores East, Lp | Technician/Technologist | 8550 N Dale Mabry Hwy, Tampa, FL 33614-1646 | 2006-09-28 |
| 1659472587 | Max Anthony Castro | Technician/Technologist | 4602 N Armenia, Suite A-1, Tampa, FL 33603-2625 | 2006-09-25 |
| 1508335357 | Louis T Perez | Technician/Technologist | 4040 W Waters Ave, Tampa, FL 33614-1958 | 2018-11-21 |
| 1881118339 | Nationwide Vision Center, LLC | Technician/Technologist | 13141 N Dale Mabry Hwy Ste D&e, Tampa, FL 33618-2443 | 2017-07-26 |
| 1790230928 | Sara Rosen | Technician/Technologist | 912 Channelside Dr, Suite 2102, Tampa, FL 33602-4229 | 2016-08-17 |
| Find all providers in TAMPA | ||||
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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.