WAL-MART STORES, INC. (NPI# 1710083100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710083100 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-3847 |
| Practice Address |
1110 W Pioneer Blvd Mesquite NV 89027-8864 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 7023461399 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY J BOYD (CONTRACT COORDINATOR) |
| Authorized Official Telephone | 4792771359 |
| 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 30-3847 | 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 |
1110 W PIONEER BLVD |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-8864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073702841 | Robert D. Hillstead, Inc | Optometrist | 1110 W Pioneer Blvd, Mesquite, NV 89027-8864 | 2007-10-17 |
| 1497811467 | Robert D. Hillstead | Optometrist | 1110 W Pioneer Blvd, Mesquite, NV 89027-8864 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830695 | Eyemax Family Vision Pllc | Technician/Technologist | 1515 N Town East Blvd Ste 523, Mesquite, TX 75150-4198 | 2017-09-14 |
| 1417058553 | Vision Health Services | Technician/Technologist | 3434 Towne Crossing Blvd, 112, Mesquite, TX 75150-2782 | 2006-09-25 |
| 1093131088 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1515 N Town East Blvd, Mesquite, TX 75150-4157 | 2014-03-14 |
| 1285859801 | Glenn L Wilson | Technician/Technologist | 120 W Main St, Suite 210, Mesquite, TX 75149-4264 | 2007-04-17 |
| 1619052552 | Wal-mart Stores Texas, Lp | Technician/Technologist | 200 Us Highway 80 E, Mesquite, TX 75149-1656 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232730 | Tina Kosmach | Technician/Technologist | 7330 Eastgate Rd Ste 130, Henderson, NV 89011-4048 | 2018-07-19 |
| 1811485253 | James Kyles | Technician/Technologist | 4421 Valley Quail Way, North Las Vegas, NV 89084-2629 | 2018-05-01 |
| 1700120136 | Wal-mart Stores Inc | Technician/Technologist | 1511 Grant St, Gardnerville, NV 89410-7824 | 2012-11-26 |
| 1689928608 | Lovejeet Toor | Technician/Technologist | 3230 W Hacienda Ave Ste 301, Las Vegas, NV 89118-1717 | 2012-10-29 |
| 1659624500 | Andrea I Krohn | Technician/Technologist | 1684 Sabatini Dr, Henderson, NV 89052-4109 | 2012-10-16 |
| 1225295934 | James Crimi | Technician/Technologist | 10575 S Eastern Ave, #150, Henderson, NV 89052-5017 | 2008-05-20 |
| 1730302993 | Michael Erin Grover | Technician/Technologist | 4340 Valdez Way, Reno, NV 89502-4938 | 2007-04-10 |
| 1134240443 | Sean Russell Fericks | Technician/Technologist | 1657 Mountain City Highway, Suite 101, Elko, NV 89801-2459 | 2007-04-03 |
| 1902937402 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 3950 W. Lake Mead Blvd, North Las Vegas, NV 89032 | 2007-03-08 |
| 1598808511 | Nevada State Optical, Inc. | Technician/Technologist | 5595 S Virginia St, Suite B, Reno, NV 89502-6085 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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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.