WAL-MART STORES EAST, LP (NPI# 1972920718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972920718 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-1536 |
| Practice Address |
10237 Bay Pines Blvd St Petersburg FL 33708-3131 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7273471188 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACTING & ENROLL) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| 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 Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-1536 | 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 |
10237 BAY PINES BLVD |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33708-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770500159 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 10237 Bay Pines Blvd, St Petersburg, FL 33708-3131 | 2006-07-16 |
| 1235760729 | Ann Hanna | Pharmacist | 10237 Bay Pines Blvd, St Petersburg, FL 33708-3131 | 2020-02-03 |
| 1508413485 | Courtney Rozinek | Pharmacist | 10237 Bay Pines Blvd, St Petersburg, FL 33708-3131 | 2019-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580545 | Caryn Lee Jackson-costello | Technician | 229h Medallion Boulevard, Madeira Beach, FL 33708 | 2018-12-21 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1073929634 | Blake Burnett | Student in an Organized Health Care Education/Training Program | 9200 113th Street, Saint Petersburg, FL 33708 | 2014-07-03 |
| 1568876084 | Lori R Hassinger Pa | Optometrist | 10127 Bay Pines Blvd, Saint Petersburg, FL 33708 | 2014-06-12 |
| 1043596927 | Elizabeth Wedman-st. Louis | Dietitian, Registered | 17920 Gulf Blvd, Ste 606, Redington Shores, FL 33708 | 2011-10-24 |
| 1033492301 | Irina S Solonenko | Pharmacist | 674 E Welch Causeway, Madeira Beach, FL 33708 | 2011-09-23 |
| 1962630277 | Rebekah Anne Smith | Optometrist | 15037 Madeira Way, Madeira Beach, FL 33708 | 2009-06-25 |
| 1952535973 | Ronald A Luscomb | Nurse Practitioner | 16110 Redington Drive, Redington Beach, FL 33708 | 2009-05-05 |
| 1679753933 | We Care Home Health Inc | Home Health | 10911 53rd Av No, St Petersburg, FL 33708 | 2007-11-05 |
| 1740408798 | The Hoffman Clinic, P.a. | Acupuncturist | 13495 Gulf Boulevard, Madeira Beach, FL 33708 | 2007-04-23 |
| Find all providers in zip 33708 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972880292 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2143 Tyrone Blvd, St Petersburg, FL 33710-4023 | 2011-11-15 |
| 1245438803 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 4360 28th St N, St Petersburg, FL 33714-3924 | 2007-07-05 |
| 1114044427 | Lens & Rims Vision Centers, Inc | Eyewear Supplier (Equipment, not the service) | 1115a 62nd Ave N, St Petersburg, FL 33702-7421 | 2007-03-23 |
| 1992851745 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6951 22 Ave N, St Petersburg, FL 33710-3936 | 2007-01-26 |
| 1598816738 | Dml Optical Inc | Eyewear Supplier (Equipment, not the service) | 3455 49th St N, St Petersburg, FL 33710-2147 | 2007-01-15 |
| 1477603710 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 9500 Dr Martin Luther King Jr St N, St Petersburg, FL 33702-2424 | 2007-01-11 |
| 1861559320 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2300 N Tyrone Bd, Tyrone Square Mall, St Petersburg, FL 33710 | 2007-01-03 |
| 1366464455 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7000 Tyrone Sq, St Petersburg, FL 33710-3937 | 2006-07-24 |
| 1760008593 | Eye Associates of Manatee LLP | Eyewear Supplier (Equipment, not the service) | 1601 38th Ave N, St Petersburg, FL 33713-1926 | 2020-06-17 |
| 1538696265 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6901 22nd Ave N, St Petersburg, FL 33710-3943 | 2017-05-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33708 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST, LP.
| 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.