WAL-MART STORE EAST, LP (NPI# 1720446776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720446776 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORE EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-6879 |
| Practice Address |
2820 Gillespie St. Fayetteville NC 28306 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9103640311 |
| Practice Fax Number | 9104849009 |
| Mailing Telephone | 4792048550 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2017-01-03 |
| 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 |
|---|---|
| Walmart Vision Center 30-6879 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
| 1093870909 | Wal-mart Store East, Lp | Technician/Technologist | 1330 W. Clemmnonsville Rd., Winston Salem, NC 27127 | 2006-12-22 |
| 1699279430 | Wal-mart Store East, Lp | Eyewear Supplier (Equipment, not the service) | 2501 Route 130 S, Cinnaminson, NJ 08077-3075 | 2018-03-19 |
| 1295241420 | Wal-mart Store East, Lp | Eyewear Supplier (Equipment, not the service) | 1226 E Dixie Dr, Asheboro, NC 27203-8856 | 2017-12-26 |
| 1366531972 | Wal-mart Store East, Lp | Technician/Technologist | 11012 N Williams St, Dunnellon, FL 34432-8319 | 2006-10-12 |
| 1205928769 | Wal-mart Store East, Lp | Technician/Technologist | 2144 W Indiantown Rd, Jupiter, FL 33458-5810 | 2006-09-29 |
| Street Address |
2820 GILLESPIE ST. |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| 1467768135 | Angels Urgent Care, PC | Clinic/Center | 2356 John Smith Road, Fayetteville, NC 28306 | 2010-08-19 |
| Find all providers in zip 28306 | ||||
| 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 |
|---|---|---|---|---|
| 1891193611 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1598 Skibo Rd, Fayetteville, NC 28303-3478 | 2014-12-10 |
| 1235549536 | A Plus Optique | Eyewear Supplier (Equipment, not the service) | 1240 Highway 54 W Ste 306, Fayetteville, GA 30214-4563 | 2014-05-07 |
| 1902244569 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5200 Red Tip Rd, Fayetteville, NC 28314-2884 | 2013-06-05 |
| 1871861104 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 131 Glensford Dr, Suite #105, Fayetteville, NC 28314-2361 | 2011-12-01 |
| 1528344702 | Eyemart Expess Ltd | Eyewear Supplier (Equipment, not the service) | 1598 Skibo Road, Fayetteville, NC 28303 | 2011-11-01 |
| 1720380314 | Valley Eye Clinic, Pllc | Eyewear Supplier (Equipment, not the service) | 2139 Valleygate Drive, Suite 101a, Fayetteville, NC 28304-3666 | 2010-12-02 |
| 1366624124 | George L Cooper Md | Eyewear Supplier (Equipment, not the service) | 2139 Valleygate Dr Ste 101a, Fayetteville, NC 28304-3666 | 2007-12-03 |
| 1598891137 | Eye Tech Optical Inc | Eyewear Supplier (Equipment, not the service) | 1800 N Skibo Rd, Suite 148 A, Fayetteville, NC 28303-3485 | 2007-02-26 |
| 1235202631 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 400 Cross Creek Rd, Cross Creek Mall, Fayetteville, NC 28303-7244 | 2006-11-16 |
| 1790866465 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3081 N Hwy 112, Fayetteville, AR 72704 | 2006-10-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
Please comment or provide details below to improve the information on WAL-MART STORE 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.