WAL-MART STORES EAST, LP (NPI# 1679658546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679658546 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1441 |
| Practice Address |
5303 Bowen Dr Mason OH 45040-6732 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 5135839333 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-02-21 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| 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 |
|---|---|
| Vision Center 30-1441 | 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 |
5303 BOWEN DR |
| City | MASON |
| State | OH |
| Zip Code | 45040-6732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083631261 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5303 Bowen Dr, Mason, OH 45040-6732 | 2006-07-16 |
| 1346840717 | Justin Daniel Hawks | Pharmacist | 5303 Bowen Dr, Mason, OH 45040-6732 | 2020-10-27 |
| 1447665294 | Jonathan Lam | Pharmacist | 5303 Bowen Dr, Mason, OH 45040 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| 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 |
|---|---|---|---|---|
| 1013092097 | J. Stephen Newell, O.d. | Eyewear Supplier (Equipment, not the service) | 218 Reading Rd, Mason, OH 45040-1665 | 2006-10-26 |
| 1356447676 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Place, Mason, OH 45040-8114 | 2006-09-15 |
| 1518515071 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Mason, OH 45040-8114 | 2019-08-28 |
| 1124506696 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 9554 S Mason Montgomery Rd, Mason, OH 45040-9759 | 2018-08-06 |
| 1194253328 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Mason, OH 45040-8114 | 2017-06-01 |
| 1538603709 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Attn: Medicare Department, Mason, OH 45040-8114 | 2016-12-07 |
| 1205389764 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Attn: Medicare Dept, Mason, OH 45040-8114 | 2016-08-01 |
| 1811343130 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Mason, OH 45040-8114 | 2016-05-05 |
| 1063610772 | Lenscrafters International Inc | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Mason, OH 45040-8114 | 2007-07-03 |
| 1003939661 | Pearle Vision Center of Puerto Rico, Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Mason, OH 45040-8114 | 2007-04-09 |
| Find all providers in MASON | ||||
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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.