WAL-MART STORES, INC. DBA WAL-MART (NPI# 1982734539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982734539 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. DBA WAL-MART |
| Other Organization Name | VISION CENTER 30-0199 |
| Practice Address |
825 Malerich Dr. Lincoln IL 62656 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 2177324285 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| 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 |
|---|---|---|---|---|---|
| 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 30-0199 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871717256 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 755 Riverpoint Dr, West Sacramento, CA 95605-1626 | 2007-04-13 |
| 1639200058 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 2500 S Main, Fort Scott, KS 66701 | 2007-03-08 |
| 1558492033 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 79315 Hwy 111, La Quinta, CA 92253 | 2007-03-08 |
| 1659402089 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 205 12th St. S., Sauk Centre, MN 56378 | 2007-03-08 |
| 1528199940 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 1720 Westridge Rd, New Ulm, MN 56073 | 2007-03-08 |
| 1366573826 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 9151 So. Quarry Blvd, Sandy, UT 84094 | 2007-03-08 |
| 1902937402 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 3950 W. Lake Mead Blvd, North Las Vegas, NV 89032 | 2007-03-08 |
| 1124150578 | Wal-mart Stores, Inc. Dba Wal-mart | Eyewear Supplier (Equipment, not the service) | 3205 Stower St, Miles City, MT 59301-5785 | 2007-03-12 |
| 1003948456 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 7150 E Speedway Blvd, Tucson, AZ 85710-1318 | 2007-03-12 |
| 1649302563 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 1800 University Dr, Vista, CA 92083-7700 | 2007-03-09 |
| Street Address |
825 MALERICH DR. |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| 1598710345 | Jak Enterprises Inc | Optometrist | 1477 Woodlawn Rd, Lincoln, IL 62656 | 2006-05-23 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
| 1326346339 | Stephen A Statton | Technician/Technologist | 4645 Normal Blvd, Suite 132, Lincoln, NE 68516 | 2011-03-01 |
| 1386839025 | Spec Shoppe | Technician/Technologist | 7121 A St, Suite #202, Lincoln, NE 68510-4289 | 2007-09-06 |
| 1457428997 | Robert Browne | Technician/Technologist | 1101 S 70th St, Suite 200, Lincoln, NE 68510-4278 | 2006-11-29 |
| 1972686673 | Wal-mart Stores, Inc. | Technician/Technologist | 4700 N 27th St, Lincoln, NE 68521-1190 | 2006-10-24 |
| 1013090364 | Wal-mart Stores, Inc. | Technician/Technologist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2006-10-23 |
| 1205926458 | Sam's Club Optical | Technician/Technologist | 4900 N 27th St, Lincoln, NE 68521-1194 | 2006-10-16 |
| 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 | ||||
Please comment or provide details below to improve the information on WAL-MART STORES, INC. DBA WAL-MART.
| 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.