WAL-MART STORES, INC. (NPI# 1922292432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922292432 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-3790 |
| Practice Address |
16241 South Farrell Rd Lockport IL 60441 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 8158363564 |
| Mailing Telephone | 4792771175 |
| Mailing Fax Number | 4792778174 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MISS SABRINA NICOLE SUTTON (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792771175 |
| 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 30-3790 | 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 |
| Street Address |
16241 SOUTH FARRELL RD |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| 1043317282 | Paul Frederic Edelson | Pediatrics | 16622 159th St, Ste 1a, Lockport, IL 60441 | 2006-09-20 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295847556 | Wal-mart Stores East, Lp | Technician/Technologist | 5783 S Transit Rd, Lockport, NY 14094-5811 | 2006-08-31 |
| 1427521566 | Cathy J Carroll | Technician/Technologist | 5735 S Transit Rd, Lockport, NY 14094-5864 | 2019-01-10 |
| 1790291524 | Amber Keith | Technician/Technologist | 5735 S Transit Rd, Lockport, NY 14094-5864 | 2017-12-15 |
| 1962526814 | Sherwin W Brownsten | Technician/Technologist | 36 East Ave, Lockport, NY 14094-3708 | 2007-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902445570 | Kami Optical Corp | Technician/Technologist | 1163 E Ogden Ave Ste 701, Naperville, IL 60563-8535 | 2019-12-31 |
| 1750847281 | National Vision Inc | Technician/Technologist | 750 S Rand Rd, Lake Zurich, IL 60047-2467 | 2019-02-20 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1720571615 | National Vision, Inc. | Technician/Technologist | 6931 Grand Ave Ste E2, Gurnee, IL 60031-1610 | 2018-06-14 |
| 1023528619 | Direct Healthcare Solutions LLC | Technician/Technologist | 1520 Fringetree Ln, Woodridge, IL 60517-4653 | 2017-10-09 |
| 1184140014 | Efp Opticians On Dearborn, LLC | Technician/Technologist | 1205 N Dearborn St, Chicago, IL 60610-2213 | 2017-08-22 |
| 1235668245 | Vision Man | Technician/Technologist | 8335 Grand Ave, River Grove, IL 60171-1434 | 2017-06-05 |
| 1033662200 | National Vision, Inc. | Technician/Technologist | 348 W Army Trail Rd, Suite 130, Bloomingdale, IL 60108-5608 | 2016-07-25 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1346695392 | National Vision, Inc. | Technician/Technologist | 714 S Randall Rd, Algonquin, IL 60102-5915 | 2016-04-27 |
| 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.