WAL-MART STORES, INC. (NPI# 1710069778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710069778 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-2893 |
| Practice Address |
121 Peter Pan Rd Independence KS 67301-7307 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6203315805 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-2893 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
121 PETER PAN RD |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659398071 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 121 Peter Pan Rd, Independence, KS 67301-7307 | 2006-07-16 |
| 1902424450 | Michelle Filkin | Pharmacist | 121 Peter Pan Rd, Independence, KS 67301-7307 | 2020-07-10 |
| 1457846552 | John Howard Woodward | Pharmacist | 121 Peter Pan Rd, Independence, KS 67301-7307 | 2018-06-30 |
| 1063907103 | Christina Slaton | Pharmacist | 121 Peter Pan Rd, Independence, KS 67301-7307 | 2018-06-29 |
| 1760515316 | John Marceau Richardson | Optometrist | 121 Peter Pan Rd, Independence, KS 67301-7307 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235204363 | Sac Inc. | Technician/Technologist | 3801 S Noland Rd, Ste. E, Independence, MO 64055-3344 | 2006-11-22 |
| 1316023518 | Sam's Club Optical | Technician/Technologist | 4100 S Bolger Rd, Independence, MO 64055-6772 | 2006-10-31 |
| 1033290523 | Wal-mart Stores East, Lp | Technician/Technologist | 4000 S Bolger Rd, Independence, MO 64055-6776 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885294 | K&t LLC | Technician/Technologist | 412 N Kansas Ave, Liberal, KS 67901-3330 | 2020-09-10 |
| 1306467899 | Hour Glasses LLC | Technician/Technologist | 725 N 2nd St Ste C, Lawrence, KS 66044-1442 | 2020-05-06 |
| 1215385026 | Matthew King | Technician/Technologist | 7223 E Chelsea St, Wichita, KS 67206-1042 | 2016-06-02 |
| 1629425731 | Marcia Renee Little | Technician/Technologist | 942 S Oliver St, Wichita, KS 67218-3216 | 2016-05-18 |
| 1215304894 | Shaunda Leigh Adams | Technician/Technologist | 1416 W Sheridan St, Olathe, KS 66061-4133 | 2015-08-30 |
| 1235537911 | Jonathan Sollars | Technician/Technologist | 11000 Johnson Dr, Shawnee, KS 66203-2832 | 2014-12-12 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1487085718 | Teresa Hopkins | Technician/Technologist | 316 W 8th St, Coffeyville, KS 67337-5829 | 2013-12-12 |
| 1326475328 | Eye Style Optics, LLC | Technician/Technologist | 4050 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2013-10-04 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
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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.