WAL-MART STORES EAST, LP (NPI# 1013007624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013007624 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-1096 |
Practice Address |
261 Cooper Creek Dr Mocksville NC 27028-5967 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 3367511266 |
Enumeration Date | 2006-10-13 |
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 30-1096 | 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 |
261 COOPER CREEK DR |
City | MOCKSVILLE |
State | NC |
Zip Code | 27028-5967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427075662 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 261 Cooper Creek Dr, Mocksville, NC 27028-5967 | 2006-07-16 |
1184149767 | Leann Sanders | Pharmacist | 261 Cooper Creek Dr, Mocksville, NC 27028-5967 | 2017-08-04 |
1508303603 | Elaine Shelton | Pharmacist | 261 Cooper Creek Dr, Mocksville, NC 27028-5967 | 2017-01-26 |
1063958767 | Holly Payne | Pharmacist | 261 Cooper Creek Dr, Mocksville, NC 27028-5967 | 2017-01-18 |
1205295367 | Mindy Church Woodie | Pharmacist | 261 Cooper Creek Dr, Mocksville, NC 27028-5967 | 2016-02-17 |
1740649128 | Deval I Desai Od Pllc | Optometrist | 261 Cooper Creek Dr, Mocksville, NC 27028-5967 | 2016-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
Find all providers in zip 27028 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164950903 | Kelley Taylor | Technician/Technologist | 66 Court Sq, Mocksville, NC 27028-2415 | 2017-05-24 |
1386173847 | Spectacle Envy | Technician/Technologist | 66 Court Sq, Mocksville, NC 27028-2415 | 2017-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669027603 | Sharna Michelle Jones | Technician/Technologist | 526 Queens Creek Rd, Hubert, NC 28539-4188 | 2019-08-06 |
1467006536 | Timothy Jerone Turner | Technician/Technologist | 5809 Hillcrest Cir, Indian Trail, NC 28079-8652 | 2019-07-28 |
1215491782 | National Vision Inc | Technician/Technologist | 5343 South Blvd, Charlotte, NC 28217-4117 | 2019-01-29 |
1619431723 | L & J Boyd Enterprises, LLC | Technician/Technologist | 390 Number Nine Road, Fairview, NC 28730 | 2019-01-23 |
1881167807 | National Vision Inc | Technician/Technologist | 4434 Fayetteville Rd Ste 11, Raleigh, NC 27603-3612 | 2019-01-03 |
1750857413 | National Vision Inc | Technician/Technologist | 1602 S Stratford Rd Ste 120, Winston Salem, NC 27103-2924 | 2018-10-22 |
1508331448 | National Vision Inc | Technician/Technologist | 1216 Bridford Pkwy Ste Qands, Greensboro, NC 27407-2696 | 2018-10-08 |
1962997627 | National Vision, Inc. | Technician/Technologist | 591 River Hwy Ste P, Mooresville, NC 28117-6979 | 2018-06-26 |
1811498793 | National Vision, Inc. | Technician/Technologist | 2117 N Main St, High Point, NC 27262-7700 | 2018-02-26 |
1487165833 | Curtis Markee Threatt | Technician/Technologist | 2700 Reynolda Rd Apt 1302, Winston Salem, NC 27106-3847 | 2017-10-12 |
Find all providers with the same taxonomy |
City | MOCKSVILLE |
Zip Code | 27028 |
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.