WAL-MART STORES, INC. (NPI# 1912039223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912039223 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-3349 |
| Practice Address |
375 Kings Highway Port Charlotte FL 33983 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9416251201 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHIELA F DOUGLAS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792738048 |
| 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 30-3349 | 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 |
| Street Address |
375 KINGS HIGHWAY |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114327244 | Alexandra Fichetti | Counselor | 1196-j Rio De Janeiro. Ave, Punta Gorda, FL 33983 | 2014-08-26 |
| 1164749719 | Larry D. Rand | Physician Assistant | 27289 Voyageur Dr., Punta Gorda, FL 33983 | 2010-04-22 |
| 1669552360 | Paul Edward Tuma | Pharmacist | 2000 Kings Highway, Port Charlotte, FL 33983 | 2006-10-17 |
| 1013007145 | Amy Louise Houser | Social Worker | 26559 Barraquilla Avenue, Punta Gorda, FL 33983 | 2006-10-12 |
| 1679560262 | Deep Creek Rnc, LLC | Skilled Nursing Facility | 25325 Rampart Blvd, Port Charlotte, FL 33983 | 2005-09-29 |
| 1447677208 | Karen Partridge | Pharmacist | 375 Kings Hwy, Wal-mart Pharmacy 3349, Port Charlotte, FL 33983 | 2014-03-18 |
| 1104261650 | North Port Retirement Centers, Inc. | Assisted Living Facility | 24949 Sandhill Blvd, Punta Gorda, FL 33983 | 2013-05-09 |
| 1194864009 | Petrija Jen Do Pa | Personal Emergency Response Attendant | 24451 Sandhill Blvd, Suite A, Punta Gorda, FL 33983 | 2007-02-06 |
| 1518414994 | Kristen Cuellar | Clinic/Center | 2428 Nuremberg Blvd, Punta Gorda, FL 33983-2609 | 2016-09-02 |
| 1457652935 | Aggies's Place, Inc. | In Home Supportive Care | 2428 Nuremberg Blvd., Punta Gorda, FL 33983-2609 | 2010-11-15 |
| Find all providers in zip 33983 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093907784 | Stephen Mason | Technician/Technologist | 4265 Tamiami Trl, Suite G, Port Charlotte, FL 33980-2152 | 2007-08-16 |
| 1639361322 | Jackson Optical LLC | Technician/Technologist | 4265 Tamiami Trl, Suite G, Port Charlotte, FL 33980-2152 | 2007-08-16 |
| 1326147745 | Wal-mart Stores East, Lp | Technician/Technologist | 19100 Murdock Cir, Port Charlotte, FL 33948-1022 | 2006-09-22 |
| 1639278245 | Sam's Club Optical | Technician/Technologist | 17700 Murdock Cir, Port Charlotte, FL 33948-1054 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
| 1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
| 1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33983 |
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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.