WAL-MART STORES, INC (NPI# 1003906090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003906090 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-2455 |
| Practice Address |
701 Smelter Ave Ne Great Falls MT 59404-1940 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 4067615426 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (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 30-2455 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| 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 |
| Street Address |
701 SMELTER AVE NE |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578596425 | Shon Anthony Weaver | Optometrist | 701 Smelter Ave Ne, Vision Center, Great Falls, MT 59404-1940 | 2006-07-07 |
| 1679925259 | Heather Daniels | Pharmacist | 701 Smelter Ave Ne, Great Falls, MT 59404-1940 | 2016-07-07 |
| 1447621354 | Tara Pottratz | Pharmacist | 701 Smelter Ave Ne, Great Falls, MT 59404-1940 | 2015-10-18 |
| 1891166781 | Dorothy Urbank | Pharmacist | 701 Smelter Ave Ne, Great Falls, MT 59404-1940 | 2015-10-18 |
| 1023413879 | Jo Lynn Hickey | Pharmacist | 701 Smelter Ave Ne, Great Falls, MT 59404-1940 | 2014-10-22 |
| 1679853212 | Jennifer Seidlitz | Pharmacist | 701 Smelter Ave Ne, Great Falls, MT 59404 | 2011-08-26 |
| 1508173188 | Saw Corp | Optometrist | 701 Smelter Ave Ne, Dr. Weaver, Great Falls, MT 59404-1940 | 2010-09-03 |
| 1316049885 | Jimmy Dee Robertson | Optometrist | 701 Smelter Ave Ne, Great Falls, MT 59404-1940 | 2006-09-03 |
| 1770500019 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 701 Smelter Ave Ne, Great Falls, MT 59404-1940 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073527362 | Us Vision Optical Inc | Technician/Technologist | 1200 10th Ave S, Great Falls, MT 59405-4413 | 2006-07-29 |
| 1902859515 | Shopko Stores Operating Co. LLC | Technician/Technologist | 301 Northwest Byp, Great Falls, MT 59404-4125 | 2006-05-18 |
| 1851837421 | Wal-mart Stores, Inc. | Technician/Technologist | 5320 10th Ave S, Great Falls, MT 59405-5633 | 2017-01-06 |
| 1003900150 | Sam's Club Optical | Technician/Technologist | 401 Northwest Byp, Great Falls, MT 59404-4124 | 2006-10-03 |
| 1801897780 | Great Falls Clinic LLP | Technician/Technologist | 1400 29th St S, Great Falls, MT 59405-5353 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245896638 | Shoptikal LLC | Technician/Technologist | 316 S 24th St W Ste 101b, Billings, MT 59102-5605 | 2019-05-12 |
| 1861058257 | Shoptikal LLC | Technician/Technologist | 155 Hutton Ranch Rd Ste 101, Kalispell, MT 59901-2153 | 2019-05-12 |
| 1417513896 | Shoptikal LLC | Technician/Technologist | 3075 N Reserve St Ste F, Missoula, MT 59808-1390 | 2019-05-11 |
| 1962901355 | Melita Lynnette Schaefer | Technician/Technologist | 2910 S Reserve St Ste B, Missoula, MT 59801-7677 | 2018-02-12 |
| 1770033847 | Rocky Mountain Optical and Contact Lens Center, Inc. | Technician/Technologist | 120 S 5th St Ste 105, Hamilton, MT 59840-2798 | 2016-10-12 |
| 1811374614 | Christy Wickund | Technician/Technologist | 601 W Spruce St Ste E, Missoula, MT 59802-4047 | 2015-04-30 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1982953899 | Tricia Hill-parks | Technician/Technologist | 120 South 5th Street, Ste 105, Hamilton, MT 59840-9840 | 2012-09-06 |
| 1356588131 | Ronald Jay Bishop Jr. | Technician/Technologist | 3810 S 7th St W, Missoula, MT 59804-1916 | 2009-01-15 |
| 1255500294 | Burton Opticians | Technician/Technologist | 3410 Harrison Ave, Butte, MT 59701-3546 | 2008-02-25 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
Please comment or provide details below to improve the information on WAL-MART STORES, INC.
| 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.