WAL-MART STORES EAST, LP (NPI# 1871675017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871675017 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1804 |
| Practice Address |
1710 Apple Glen Blvd Fort Wayne IN 46804-1725 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 2604360113 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-1804 | 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 |
1710 APPLE GLEN BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396762514 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1710 Apple Glen Blvd, Fort Wayne, IN 46804-1725 | 2006-07-16 |
| 1992303150 | Bethlehem Sene | Pharmacist | 1710 Apple Glen Blvd, Fort Wayne, IN 46804-1725 | 2020-10-11 |
| 1861043986 | Anthony J Guido | Pharmacist | 1710 Apple Glen Blvd, Fort Wayne, IN 46804-1725 | 2019-09-20 |
| 1396394177 | Karrie Ann Rose | Pharmacist | 1710 Apple Glen Blvd, Fort Wayne, IN 46804-1725 | 2019-09-05 |
| 1982082855 | Embree Optometry PC | Optometrist | 1710 Apple Glen Blvd, Fort Wayne, IN 46804-1725 | 2015-05-12 |
| 1457464794 | Rodney C Embree | Optometrist | 1710 Apple Glen Blvd, Fort Wayne, IN 46804-1725 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639217730 | Wisconsin Vision, Inc | Technician/Technologist | 3972 W Jefferson Blvd, Fort Wayne, IN 46804-6812 | 2007-02-01 |
| 1659619427 | Usv Optical Inc. | Technician/Technologist | 5909 Illinois Rd, Fort Wayne, IN 46804-1159 | 2013-01-29 |
| 1326283615 | America's Best Contacts & Eyeglasses | Technician/Technologist | 10021 Lima Rd, Fort Wayne, IN 46818-8904 | 2008-12-16 |
| 1851473086 | Wal-mart Stores East, Lp | Technician/Technologist | 5311 Coldwater Rd, Fort Wayne, IN 46825-5444 | 2006-10-19 |
| 1639250053 | Vision Care Associates PC | Technician/Technologist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2006-10-19 |
| 1275615189 | Wal-mart Stores East, Lp | Technician/Technologist | 10420 Maysville Rd, Fort Wayne, IN 46835-9762 | 2006-10-19 |
| 1861581662 | Sam's Club Optical | Technician/Technologist | 6736 Lima Rd, Fort Wayne, IN 46818-1118 | 2006-10-12 |
| 1073613337 | Wal-mart Stores East, Lp | Technician/Technologist | 7502 Southtown Xing, Fort Wayne, IN 46816-2515 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210296 | Vision Mart Eye Center, Inc. | Technician/Technologist | 4684 S Us Hwy 41, Terre Haute, IN 47802-5404 | 2019-11-19 |
| 1700323508 | National Vision, Inc. | Technician/Technologist | 171 Us 41, Schererville, IN 46375 | 2017-01-31 |
| 1033575824 | National Vision, Inc. | Technician/Technologist | 16787 Clover Rd, Noblesville, IN 46060-3646 | 2016-01-08 |
| 1346664745 | Phillip Thomas | Technician/Technologist | 102 Hillside Cir, Charlestown, IN 47111-1007 | 2014-02-06 |
| 1750627782 | Kenneth Wayne Mckeand | Technician/Technologist | 1401 E Center St, Warsaw, IN 46580-3525 | 2012-12-19 |
| 1114277597 | Sams East Inc | Technician/Technologist | 3819 State Road 26 E, Lafayette, IN 47905-4872 | 2012-09-13 |
| 1821372665 | Jedeye LLC | Technician/Technologist | 2005 Diplomat Ln, Kokomo, IN 46902-3298 | 2011-09-28 |
| 1457650335 | Brownell Norman Payne Jr. | Technician/Technologist | 1537 Greer Dell Rd, Indianapolis, IN 46260-4427 | 2011-03-18 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1750607909 | Eyes 2020 Inc. | Technician/Technologist | 3757 E Main St, Richmond, IN 47374-3614 | 2010-04-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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.