WAL-MART STORES, INC.


Address: 9300 East Point Douglas Rd S, Cottage Grove, MN 55016
Phone: 6518462836

WAL-MART STORES, INC. (NPI# 1942622089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942622089
Entity Type Organization
Organization Name WAL-MART STORES, INC.
Other Organization Name WAL-MART VISION CENTER 30-2448
Practice Address 9300 East Point Douglas Rd S
Cottage Grove
MN 55016
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 6518462836
Practice Fax Number 6514591875
Enumeration Date 2014-01-08
Last Update Date 2019-09-17
Authorized Official Name SARAH LITTLE (DIRECTOR OF GOVERNMENT CONTRACTING)
Authorized Official Telephone 4792772500
Is Organization Subpart Y
Parent Organization Name WAL-MART STORES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider/Organization Names

Other Name Type Code
Wal-Mart Vision Center 30-2448 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 9300 EAST POINT DOUGLAS RD S
City COTTAGE GROVE
State MN
Zip Code 55016

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073161519 Kathleen Johnson Technician 7436 Hinton Park Ave South, Cottage Grove, MN 55016 2019-08-28
1710473434 Cg Care Center, LLC. Skilled Nursing Facility 6993 80th Street South, Cottage Grove, MN 55016 2018-07-05
1235532771 Lydia Sirucek Nurse Practitioner 8611 E Point Douglas Rd, Cottage Grove, MN 55016 2014-09-29
1366859746 Home Care Service Providers Inc. Home Health 9635 Hamlet Ave, Cottage Grove, MN 55016 2014-07-17
1255770962 Southside At The Cottage Grove Site Family Medicine 8454 East Point Douglas Road, Cottage Grove, MN 55016 2013-06-17
1710222088 Santori Chiropractic Center, LLC Chiropractor 7155 80th Street So, Cottage Grove, MN 55016 2012-11-28
1609151414 Kenneth Nworah Okafor Pharmacist 7015 East Point Douglas Road, Cottage Grove, MN 55016 2011-10-13
1134432925 Elizabeth Frances Rezek Social Worker 8813 Hale Ave S, Cottage Grove, MN 55016 2010-07-21
1841420882 Mark Joseph Mangine Physical Therapist 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 2009-07-24
1770713018 Ramona L Westerberg Massage Therapist 7850 Lamar Ave S, Cottage Grove, MN 55016 2009-07-21
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493903 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 11995 Business Park Blvd N, Champlin, MN 55316 2020-10-02
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1891351268 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1101 E College Dr, Marshall, MN 56258-2366 2019-05-11
1730745100 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1459 W Service Dr, Winona, MN 55987-2512 2019-05-11
1649836016 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 2019-05-11
1124684592 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 2019-05-11
1053977421 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 2019-05-11
1942866371 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 2019-05-10
1831651165 Don Sealock, O.d., P.a. Eyewear Supplier (Equipment, not the service) 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 2019-04-04
1538624341 Don Sealock, O.d., P.a. Eyewear Supplier (Equipment, not the service) 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 2019-02-06
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Competitor

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City COTTAGE GROVE
Zip Code 55016

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Dataset Information

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.

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