WAL-MART STORES EAST, LP (NPI# 1912080557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912080557 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0014 |
| Practice Address |
1800 S Jefferson Ave Lebanon MO 65536-4208 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 4175882268 |
| Enumeration Date | 2006-10-24 |
| 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 30-0014 | 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 |
1800 S JEFFERSON AVE |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417974833 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1800 S Jefferson Ave, Lebanon, MO 65536-4208 | 2006-07-16 |
| 1386244531 | Nicholas Haden | Pharmacist | 1800 S Jefferson Ave, Lebanon, MO 65536-4208 | 2020-10-27 |
| 1538584446 | Nancy J Butler | Pharmacist | 1800 S Jefferson Ave, Lebanon, MO 65536-4208 | 2014-02-28 |
| 1417372376 | Angela Lynn Daugherty | Pharmacist | 1800 S Jefferson Ave, Lebanon, MO 65536-4208 | 2014-02-28 |
| 1639508286 | Melanie Darrow | Pharmacist | 1800 S Jefferson Ave, Lebanon, MO 65536-4208 | 2013-11-04 |
| 1578570917 | Michael Norman Sommers | Optometrist | 1800 S Jefferson Ave, Lebanon, MO 65536-4208 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639320047 | Lisa Jane Billings | Technician/Technologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2008-10-03 |
| 1205029782 | Katrina M Lewis | Technician/Technologist | 1 Medical Center Dr, Dhmc Optical Shop, Lebanon, NH 03756-1000 | 2007-08-20 |
| 1013130483 | St Johns Clinic Inc | Technician/Technologist | 331 Hospital Dr, Suite E, Lebanon, MO 65536-9217 | 2007-04-11 |
| 1922150952 | Karen Griffiths Smith | Technician/Technologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-01-18 |
| 1932281862 | Wal-mart Stores East, Lp | Technician/Technologist | 615 S Cumberland St, Lebanon, TN 37087-5107 | 2006-10-19 |
| 1912087651 | Wal-mart Stores East, Lp | Technician/Technologist | 775 Regional Park Rd, Lebanon, VA 24266-3706 | 2006-10-17 |
| 1427143718 | Walmart Inc. | Technician/Technologist | 3290 S Santiam Hwy, Lebanon, OR 97355-3737 | 2006-10-04 |
| 1346250305 | Wal-mart Stores East, Lp | Technician/Technologist | 1530 Walmart Dr, Lebanon, OH 45036-7342 | 2006-08-09 |
| 1285649079 | Alisa Gail Canillas | Technician/Technologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-30 |
| 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 | ||||
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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.