WAL-MART STORES, INC (NPI# 1811087059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811087059 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-2539 |
| Practice Address |
15727 E Broadway Ave Spokane Valley WA 99037-9544 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 5099228868 |
| Enumeration Date | 2006-10-16 |
| 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 30-2539 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| 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 |
| Street Address |
15727 E BROADWAY AVE |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99037-9544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358657 | Nils W. Ohlsen | Optometrist | 15727 E Broadway Ave, Spokane Valley, WA 99037-9544 | 2005-07-01 |
| 1194353805 | Ryan Wesley Gibson | Pharmacist | 15727 E Broadway Ave, Spokane Valley, WA 99037-9544 | 2020-03-29 |
| 1811477466 | Steven Michael Wasil | Pharmacist | 15727 E Broadway Ave, Spokane Valley, WA 99037-9544 | 2018-08-14 |
| 1801295837 | Beverly Baril | Pharmacist | 15727 E Broadway Ave, Spokane Valley, WA 99037-9544 | 2014-08-14 |
| 1396153987 | Alvin Kollaja | Pharmacist | 15727 E Broadway Ave, Spokane Valley, WA 99037-9544 | 2014-07-26 |
| 1235314964 | Outlook Vision, Inc | Optometrist | 15727 E Broadway Ave, Spokane Valley, WA 99037 | 2007-12-31 |
| 1720005846 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 15727 E Broadway Ave, Spokane Valley, WA 99037-9544 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364143 | Lighthouse Pt & Sports Medicine | Physical Medicine & Rehabilitation | 15413 E Valleyway, Building B-200, Spokane Valley, WA 99037 | 2020-10-23 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1639542061 | Timothy Richards | Physical Therapist | 15413 E Valleyway Ave, Spokane Valley, WA 99037 | 2015-11-06 |
| 1790055671 | Mark Miles Elmore | Counselor | 1120 N. Pines Rd, Suite C, Spokane Valley, WA 99037 | 2012-01-09 |
| 1578849402 | Gary Jack Schwander | Massage Therapist | 15404 E. Springfield Ave, Suite 100, Spokane Valley, WA 99037 | 2011-10-24 |
| 1811296189 | Jolee P Karr | Physical Therapy Assistant | 15425 E. Mission Ave, Spokane Valley, WA 99037 | 2011-03-25 |
| 1225369564 | Freedomcare of Wa, LLC | In Home Supportive Care | 13120 E 14th Ave, Spokane Valley, WA 99037 | 2010-01-27 |
| 1649507229 | Tiffany Ann Vanderpool | Massage Therapist | 325 S. Sullivan Rd, Spokane Valley, WA 99037 | 2009-11-03 |
| 1104059674 | Rachael Patricia Leonard | Massage Therapist | 325 S. Sullivan, Suite E, Spokane Valley, WA 99037 | 2009-08-31 |
| 1942432638 | Elements Therapeutic Massage-valley | Massage Therapist | 325 S Sullivan, Suite B, Spokane Valley, WA 99037 | 2009-08-14 |
| Find all providers in zip 99037 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013088285 | Eye Pro Optics | Technician/Technologist | 12120 E Mission Ave Ste 3, Spokane Valley, WA 99206-5378 | 2006-11-10 |
| 1699191155 | Linda Fischer Jordan | Technician/Technologist | 15735 E Broadway Ave Ste 3c2, Spokane Valley, WA 99037-8547 | 2014-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99037 |
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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.