WAL-MART STORES EAST, LP (NPI# 1790868933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790868933 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2890 |
| Practice Address |
5955 Zebulon Rd Macon GA 31210-2030 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 4784719150 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (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 30-2890 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1184156317 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 270 Heald Way, The Villages, FL 32163-6003 | 2017-03-28 |
| 1730611971 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 4401 Poole Rd., Raleigh, NC 27603-0000 | 2017-03-28 |
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1760933196 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 1705 S Kings Hwy, Myrtle Beach, SC 29577-4601 | 2016-10-20 |
| 1700335312 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 3045 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-0000 | 2016-09-23 |
| 1619425683 | Wal-mart Stores East, Lp | Technician/Technologist | 11930 Narcoossee Road, Orlando, FL 32832-0000 | 2016-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WAL-MART STORES EAST, LP | 708 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WAL-MART STORES EAST, LP, A LIMITED PARTNERSHIP OF DELAWARE | 708 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
5955 ZEBULON RD |
| City | MACON |
| State | GA |
| Zip Code | 31210-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184641425 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2006-07-16 |
| 1730780545 | Courtney Mcbroom | Pharmacist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2020-11-06 |
| 1093369811 | Aanand Patel | Pharmacist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2019-07-30 |
| 1578035804 | Vbdc of Macon LLC | Dentist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2018-12-27 |
| 1972915064 | Nimmi Patel | Pharmacist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2014-05-23 |
| 1730287996 | Seborah W. King, O.d. & Associates, L.L.C. | Optometrist | 5955 Zebulon Rd, Walmart Vision Center, Macon, GA 31210-2030 | 2006-09-20 |
| 1649372343 | Seborah Williams King | Optometrist | 5955 Zebulon Rd, Wal-mart Vision Center, Macon, GA 31210-2030 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285873398 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4640 Presidential Pkwy Ste B, Macon, GA 31206-8727 | 2009-02-12 |
| 1891951703 | Jessica A Wilson | Technician/Technologist | 1376 Gray Hwy, Macon, GA 31211-1952 | 2008-07-30 |
| 1619090354 | North Macon Eyecare | Technician/Technologist | 4445 Forsyth Rd, Macon, GA 31210-4525 | 2007-04-09 |
| 1407992977 | Downtown Opticians, Inc | Technician/Technologist | 3933 Bloomfield Rd, Macon, GA 31206-3615 | 2007-01-30 |
| 1114959376 | Paul D Willis | Technician/Technologist | 3131 Pio Nono Ave, Macon, GA 31206-3027 | 2006-07-07 |
| 1518177849 | Oldham's Opticians, Inc. | Technician/Technologist | 518 Mulberry St, Macon, GA 31201-2700 | 2007-05-23 |
| 1033321369 | Caldwell & Son Opticians Inc | Technician/Technologist | 684 1st St, Macon, GA 31201-2851 | 2007-05-07 |
| 1952447468 | Susan M Nelson | Technician/Technologist | 236 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2007-01-30 |
| 1578613659 | Eye Physicians Professional Association | Technician/Technologist | 626 1st St, Macon, GA 31201-2805 | 2007-01-11 |
| 1023192622 | Wal-mart Stores East, Lp | Technician/Technologist | 6020 Harrison Rd, Macon, GA 31206-4742 | 2006-10-24 |
| Find all providers in MACON | ||||
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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.