WAL-MART STORES, INC. (NPI# 1972684017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972684017 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-2004 |
| Practice Address |
4200 Dodge St Dubuque IA 52003-2624 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5635821003 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-2004 | 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 |
4200 DODGE ST |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52003-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487616736 | Gregory David Hansen | Optometrist | 4200 Dodge St, Dubuque, IA 52003-2624 | 2006-04-03 |
| 1881213551 | Jill Oglesby | Pharmacy Technician | 4200 Dodge St, Dubuque, IA 52003-2624 | 2020-04-13 |
| 1790314136 | Crystal Ann Smith | Pharmacist | 4200 Dodge St, Dubuque, IA 52003-2624 | 2020-04-07 |
| 1881223246 | Molly Laaker | Pharmacist | 4200 Dodge St, Dubuque, IA 52003-2624 | 2020-04-07 |
| 1235266628 | Dr. Greg Hansen, P.C. | Optometrist | 4200 Dodge St, Dubuque, IA 52003-2624 | 2007-02-27 |
| 1568489953 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4200 Dodge St, Dubuque, IA 52003-2624 | 2006-07-16 |
| 1083676332 | Lisa Ma Hansen | Optometrist | 4200 Dodge St, Dubuque, IA 52003-2624 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839691 | Steven Anthony Link | Pharmacist | 400 S Locust, Dubuque, IA 52003 | 2020-04-05 |
| 1336703057 | Braces By Abbadent, LLC | Dentist | 3430 Dodge St., Suite 19, Dubuque, IA 52003 | 2019-04-29 |
| 1689172751 | Statera LLC | Clinic/Center | 3375 Lake Ridge Drive, Dubuque, IA 52003 | 2018-01-24 |
| 1083962401 | Megan M Gross | Registered Nurse | 3375 Lake Ridge Dr., Dubuque, IA 52003 | 2012-08-15 |
| 1790067320 | Open Arms Home Health Care LLC | Home Health | 3390 Lake Ridge Drive, Dubuque, IA 52003 | 2011-09-09 |
| 1073539375 | Key West Fire and Ems Association | Ambulance | 10640 Lake Eleanor Road, Dubuque, IA 52003 | 2006-07-14 |
| 1124054283 | Jennifer Rebecca Klein | Chiropractor | 2254 Flint Hill Drive, #1, Dubuque, IA 52003 | 2006-06-23 |
| 1780647586 | Dawnelle Marie-vargas Gordon | Nurse Practitioner | 1023 Shady Oaks Dr, Dubuque, IA 52003 | 2006-04-11 |
| 1942287875 | Thomas J King IIi | Dentist | 100 Bryant St, Dubuque, IA 52003 | 2005-12-30 |
| 1013960566 | Peter Joseph Szeibel | Psychiatry & Neurology | 1015 Valentine Dr, Dubuque, IA 52003-0212 | 2006-05-18 |
| Find all providers in zip 52003 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689087538 | Innovative Ear & Hearing | Technician/Technologist | 1620 Jfk Rd, Dubuque, IA 52002-5302 | 2014-06-09 |
| 1992025399 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2515 Nw Arterial Ste 2, Dubuque, IA 52002-0400 | 2010-06-08 |
| 1790846830 | Sam's Club Optical | Technician/Technologist | 4400 Asbury Road, Dubuque, IA 52002 | 2006-12-13 |
| 1275726523 | Jeffrey Klauer | Technician/Technologist | 1705 Delhi St, Dubuque, IA 52001-5934 | 2007-08-21 |
| 1316130677 | Stephen Kraus | Technician/Technologist | 1705 Delhi St, Dubuque, IA 52001-5934 | 2007-08-21 |
| 1841483104 | Leonard Ross | Technician/Technologist | 1705 Delhi St, Dubuque, IA 52001-5934 | 2007-08-21 |
| 1013100379 | Sarah Row | Technician/Technologist | 1705 Delhi St, Dubuque, IA 52001-5934 | 2007-08-21 |
| 1033302393 | Rhonda Mcmahon | Technician/Technologist | 1705 Delhi St, Dubuque, IA 52001-5934 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341843 | Robin Christine Singleton | Technician/Technologist | 103 2nd St Se, Altoona, IA 50009-1809 | 2018-10-02 |
| 1942645056 | John Robert Jansen | Technician/Technologist | 613 G Ave, Grundy Center, IA 50638 | 2013-05-02 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1720316243 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3701 Metro Dr Ste 400, Council Bluffs, IA 51501-7738 | 2009-11-20 |
| 1790013217 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3005 Wiley Blvd Sw Ste 114, Cedar Rapids, IA 52404-3178 | 2009-11-20 |
| 1447404256 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5717 Elmore Ave Ste C, Davenport, IA 52807-3514 | 2008-11-06 |
| 1720232531 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1805 Se Delaware Ave Ste 900, Ankeny, IA 50021-3935 | 2008-11-06 |
| 1316123763 | Us Vision Optical Inc | Technician/Technologist | 3333 Market Place Dr, Council Bluffs, IA 51501-8287 | 2008-01-16 |
| 1548483639 | Russ Uptown Optical Inc | Technician/Technologist | 4122 University Ave, Des Moines, IA 50311-3533 | 2007-04-10 |
| 1841316981 | Vista Vision &contact Lens Center LLC | Technician/Technologist | 2801 Grand Ave Ste 1025, Ames, IA 50010-4668 | 2007-03-21 |
| 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.