WAL-MART STORES, INC. (NPI# 1861626772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861626772 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-5477 |
| Practice Address |
401 Supercenter Dr Jefferson City MO 65101-8190 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5736353535 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | MRS. HOLLY C WILKINSON (CARRIER SPECIALIST) |
| Authorized Official Telephone | 4792048320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-5477 | 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 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 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 |
| 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 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
401 SUPERCENTER DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-8190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184759284 | Ralph Melvin Butler | Optometrist | 401 Supercenter Dr, Walmart Vision Center, Jefferson City, MO 65101-8190 | 2007-02-22 |
| 1942800719 | Taylor Nicole Tuepker | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2020-10-29 |
| 1023618501 | Bryan Karl Johnson | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2020-10-26 |
| 1871193359 | Madeline Laura Irene Leal | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2020-10-26 |
| 1275901894 | Andrea Barnes-peppard | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-09-14 |
| 1447627336 | Justin Gourley | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-08-26 |
| 1881061836 | Katherine L Froning | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-08-25 |
| 1508250796 | Jill Nitz | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-03-25 |
| 1205079100 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306927488 | Wal-mart Stores East, Lp | Technician/Technologist | 724 Stadium W. Blvd., Jefferson City, MO 65109 | 2006-10-17 |
| 1700265642 | Sam's East, Inc | Technician/Technologist | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-05-26 |
| 1023131570 | Robert Joseph Lootens Jr. | Technician/Technologist | 1705 Christy Dr, Suite 103, Jefferson City, MO 65101-5195 | 2007-04-09 |
| 1922198126 | Wal-mart Stores East, Lp | Technician/Technologist | 630 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498334 | Rhea Optical 20/20 | Technician/Technologist | 1901 Broadway St, Cape Girardeau, MO 63701-4536 | 2020-08-17 |
| 1275175226 | Amanda E Sprague | Technician/Technologist | 7514 Hazelcrest Dr, Hazelwood, MO 63042-2204 | 2019-10-11 |
| 1659837128 | National Vision Inc | Technician/Technologist | 12252 Saint Charles Rock Rd, Bridgeton, MO 63044-2501 | 2019-02-20 |
| 1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
| 1407205529 | Felicia Johnson | Technician/Technologist | 1764 Thunderbird Ave, Florissant, MO 63033 | 2016-06-09 |
| 1982062279 | Om Vision Services Inc | Technician/Technologist | 1758 S Hanley Rd, Richmond Heights, MO 63117 | 2016-02-02 |
| 1760851547 | National Vision, Inc. | Technician/Technologist | 7345 S Lindbergh Blvd Ste B, Saint Louis, MO 63125-4574 | 2015-09-22 |
| 1265820815 | Spec Shoppe II | Technician/Technologist | 301 N Park St, Stanberry, MO 64489-1245 | 2015-01-06 |
| 1558781443 | Athena Marie Duncan | Technician/Technologist | 450 N Johnson, Kahoka, MO 63445 | 2014-04-18 |
| 1194149567 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3210 Laclede Station Rd, St. Louis, MO 63143 | 2014-02-06 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
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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.