WAL-MART STORE, INC. (NPI# 1952570657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952570657 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORE, INC. |
| Other Organization Name | VISION CENTER 30-4321 |
| Practice Address |
5475 N. Meridian Wichita KS 67204 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 3168319516 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DAVID J SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| 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 30-4321 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386819142 | Wal-mart Store, Inc. | Technician/Technologist | 5695 Hwy 95 N, Lake Havasu City, AZ 86403-9646 | 2008-04-23 |
| Street Address |
5475 N. MERIDIAN |
| City | WICHITA |
| State | KS |
| Zip Code | 67204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992907141 | Diane Jeanette Casey | Physical Therapist | 2812 W 61 St N, Rehab & Consulting Pa, Wichita, KS 67204 | 2007-06-01 |
| 1477534030 | Yvonne Lara Saunders-teigeler | Family Medicine | 3443 North Amidon Avenue, Wichita, KS 67204 | 2005-11-10 |
| 1487836110 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2007-12-05 |
| 1083152540 | Ray Tejeda | Pharmacist | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2017-02-05 |
| 1265989305 | Sanjiv Patel | Pharmacist | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2016-09-07 |
| 1962618041 | Laquita Riley | Physical Therapist | 5701 N Sedgwick St, Wichita, KS 67204-1831 | 2007-05-15 |
| 1417276791 | House Call Medical Services | Nurse Practitioner | 5721 N Athenian Ave, Wichita, KS 67204-1844 | 2010-05-25 |
| 1710008495 | Home Care Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 703 W 53rd St N, Wichita, KS 67204-2237 | 2007-04-02 |
| 1962903906 | Nalini Fraser | Pharmacist | 2806 W Driftwood Cir, Wichita, KS 67204-2340 | 2018-02-26 |
| 1841209236 | Paul L Rodriguez | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2006-08-05 |
| Find all providers in zip 67204 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215385026 | Matthew King | Technician/Technologist | 7223 E Chelsea St, Wichita, KS 67206-1042 | 2016-06-02 |
| 1629425731 | Marcia Renee Little | Technician/Technologist | 942 S Oliver St, Wichita, KS 67218-3216 | 2016-05-18 |
| 1083884647 | Ryan Jay Storey | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2008-03-10 |
| 1477605780 | Michael Glenn Melton | Technician/Technologist | 1016 W 29th St S, Wichita, KS 67217-3114 | 2007-01-17 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1346321973 | The Spectacle Shoppe, Inc. | Technician/Technologist | 306 N Rock Rd, Ste 10, Wichita, KS 67206-2256 | 2006-10-18 |
| 1679917595 | Martin Verl Pickering | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2013-04-22 |
| 1023249513 | Jacob T Reese | Technician/Technologist | 610 N Main St, Wichita, KS 67203-3601 | 2009-07-31 |
| 1275762940 | Sapphire Marie Garcia | Technician/Technologist | 245 N Hillside St, Wichita, KS 67214-4903 | 2009-07-02 |
| 1285719872 | Wal-mart Stores, Inc. | Technician/Technologist | 10600 W 21st St N, Wichita, KS 67205-1886 | 2006-10-25 |
| Find all providers in WICHITA | ||||
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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.