WAL-MART STORES EAST, LP (NPI# 1700256286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700256286 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-4063 |
| Practice Address |
17105 San Carlos Blvd Fort Myers Beach FL 33931-5336 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2393407073 |
| Practice Fax Number | 2393407072 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACT & ENROLL) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-4063 | 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 |
17105 SAN CARLOS BLVD |
| City | FORT MYERS BEACH |
| State | FL |
| Zip Code | 33931-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831313907 | Illya Y. Novikov | Dentist | 17105 San Carlos Blvd, Suite B-3, Fort Myers Beach, FL 33931-5336 | 2007-04-12 |
| 1114562097 | Nicole Kristin Wagner | Pharmacist | 17105 San Carlos Blvd, Fort Myers Beach, FL 33931-5305 | 2019-11-14 |
| 1952945909 | Syed Md Parvez | Pharmacist | 17105 San Carlos Blvd, Fort Myers Beach, FL 33931-5305 | 2019-11-03 |
| 1609368885 | Lezama, P.a. | Optometrist | 17105 San Carlos Blvd, Fort Myers Beach, FL 33931-5305 | 2018-06-04 |
| 1679941660 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 17105 San Carlos Blvd, Fort Myers Beach, FL 33931-5336 | 2015-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659711190 | Laura Burke | Occupational Therapist | 215 Bahia Via, Fort Myers Beach, FL 33931 | 2013-06-28 |
| 1821243254 | Michelle Them | Physical Therapy Assistant | 850 Third St., Fort Myers Beach, FL 33931 | 2008-11-26 |
| 1548342413 | Nancy Ellen Bouchard | Dentist | 7130 Estero Blvd, Unit #2, Fort Myers Beach, FL 33931 | 2006-10-20 |
| 1487868188 | David Craig Preiss | Chiropractor | 19050 San Carlos Blvd, Fort Myers Beach, FL 33931-2219 | 2007-05-10 |
| 1295230589 | Preiss Chiropractic & Acupuncture Center II, Inc. | Clinic/Center | 19050 San Carlos Blvd, Fort Myers Beach, FL 33931-2219 | 2018-03-28 |
| 1356489942 | Wendy Lee Kuhn | Respiratory Therapist, Registered | 18102 Cutlass Dr, Fort Myers Beach, FL 33931-2302 | 2007-02-03 |
| 1366653081 | Stephen F. Scholle Md Pa | Clinic/Center | 1661 Estero Blvd Ste 1, Fort Myers Beach, FL 33931-2846 | 2007-05-24 |
| 1023025731 | Stephen F Scholle | Family Medicine | 1661 Estero Blvd, Ste 1, Fort Myers Beach, FL 33931-2846 | 2006-08-02 |
| 1093866477 | Susan N. Park | Dentist | 1661 Estero Blvd, Suite 29, Fort Myers Beach, FL 33931-2846 | 2007-01-14 |
| 1982173308 | Priscilla Santiago-maldonado | Occupational Therapist | 54 Emily Ln, Fort Myers Beach, FL 33931-2933 | 2018-11-14 |
| Find all providers in zip 33931 | ||||
| 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 |
|---|---|---|---|---|
| 1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
| 1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
| 1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
| 1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
| 1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
| 1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
| 1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
| 1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS BEACH |
| Zip Code | 33931 |
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.