WAL-MART STORES EAST LP (NPI# 1730483512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730483512 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | VISION CENTER 30-1688 |
| Practice Address |
657 Phoenix Dr Virginia Beach VA 23452 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7574989633 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| 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 |
|---|---|
| Vision Center 30-1688 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
657 PHOENIX DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952328155 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 657 Phoenix Dr, Virginia Beach, VA 23452-7318 | 2006-07-16 |
| 1871966895 | Patrick Joseph | Pharmacist | 657 Phoenix Dr, Virginia Beach, VA 23452-7318 | 2015-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
|---|---|---|---|---|
| 1134772023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1449 Tomcat Blvd Bldg 292, Virginia Beach, VA 23460-2177 | 2019-07-19 |
| 1760723993 | For Eyes Optical | Eyewear Supplier (Equipment, not the service) | 2708 Virginia Beach Blvd, Lynnhaven Convenience Center, Virginia Beach, VA 23452-7615 | 2013-03-13 |
| 1043468986 | L & J Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 2201 Upton Drive, Suite 902, Virginia Beach, VA 23454 | 2008-09-04 |
| 1013108703 | Homer Optical Company, Inc. | Eyewear Supplier (Equipment, not the service) | 1403 Air Rail Ave, Virginia Beach, VA 23455-3001 | 2007-08-07 |
| 1821298803 | Essilor Laboratories of America, Inc. | Eyewear Supplier (Equipment, not the service) | 5819a Ward Ct, Virginia Beach, VA 23455-3312 | 2007-07-19 |
| 1154477172 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 701 Lynnhaven Pkwy # B2, Virginia Beach, VA 23452-7299 | 2007-01-25 |
| 1982783866 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4500 Main St Ste 110, Virginia Beach, VA 23462 | 2006-11-03 |
| 1528155751 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 737 First Colonial Rd Ste 301, Virginia Beach, VA 23451-6103 | 2006-10-09 |
| 1801806369 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 701 Lynn Haven Parkway, Virginia Beach, VA 23452 | 2006-08-08 |
| 1740896349 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 3712 Virginia Beach Blvd, Virginia Beach, VA 23452-3414 | 2020-09-18 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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.