WAL-MART STORES, INC. (NPI# 1780039115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780039115 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WALMART VISION CENTER 30-1531 |
| Practice Address |
365 Lake Marian Road Carpentersville IL 60110 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8474265251 |
| Practice Fax Number | 8474265286 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792771242 |
| Is Organization Subpart | N |
| 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 30-1531 | 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 |
| 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 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
365 LAKE MARIAN ROAD |
| City | CARPENTERSVILLE |
| State | IL |
| Zip Code | 60110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466168 | Jene Fer Tabaco | Physical Therapist | 104 Woodland Court 3b, Carpentersville, IL 60110 | 2020-01-08 |
| 1275013435 | Vanessa Retondo | Physical Therapist | 62 S Kennedy Dr, Carpentersville, IL 60110 | 2018-08-17 |
| 1265831374 | Kelley Jean Spiro | Developmental Therapist | 5730 Breezeland Rd, Carpentersville, IL 60110 | 2014-08-14 |
| 1750632667 | Dundee Dental Smile PC | Clinic/Center | 27 South Western Ave, Unit # E, Carpenterville, IL 60110 | 2012-10-02 |
| 1487911970 | Hoolsema Therapy, Inc | Early Intervention Provider Agency | 6612 Majestic Way, Carpentersville, IL 60110 | 2012-04-20 |
| 1275847311 | Phillip Nelson Gonzalez | Physical Therapist | 62 S. Kennedy Dr., Carpentersville, IL 60110 | 2010-07-30 |
| 1194943134 | William H Morrow | Pharmacist | 406 Elm Ridge Court, Carpentersville, IL 60110 | 2007-04-23 |
| 1497770325 | Empower Home Health Services, Inc | Home Health | 856 Commerce Pkwy, Carpentersville, IL 60110 | 2006-07-13 |
| 1740233154 | Quality Renal Care LLC | Clinic/Center | 2203 Randall Road, Carpentersville, IL 60110 | 2006-05-18 |
| 1568592822 | Aeba Thankaraj | Physical Therapist | 231 W Main St, Suite 101, Carpentersville, IL 60110 | 2007-03-06 |
| Find all providers in zip 60110 | ||||
| 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 |
|---|---|---|---|---|
| 1447517792 | Visionary | Eyewear Supplier (Equipment, not the service) | 1200 Grant Dr, Carpentersville, IL 60110-2305 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
| 1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
| 1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
| 1861026890 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Northwest Hwy, Crystal Lake, IL 60014-8072 | 2020-02-28 |
| 1952935181 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4999 Old Orchard Ctr Ste J4, Skokie, IL 60077-1450 | 2020-02-26 |
| 1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
| 1114567443 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 6215 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2020-01-15 |
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | CARPENTERSVILLE |
| Zip Code | 60110 |
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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.