WAL-MART STORES EAST, L.P. (NPI# 1013048529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013048529 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, L.P. |
| Other Organization Name | VISION CENTER 30-5295 |
| Practice Address |
965 Broadhollow Rd Farmingdale NY 11735 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6316943520 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | CORY JON GUNDBERG (SVP HEALTH & WELLNESS) |
| Authorized Official Telephone | 4792779621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-5295 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164623419 | Wal-mart Stores East, L.p. | Technician/Technologist | 1274 E. 2nd St., Franklin, OH 45005 | 2007-05-31 |
| 1992836498 | Wal-mart Stores East, L.p. | Technician/Technologist | 805 Us 275, Cynthiana, KY 41031 | 2007-03-08 |
| 1508997024 | Wal-mart Stores East, L.p. | Technician/Technologist | 200 Kocher Lane, Elizabethville, PA 17023 | 2007-03-08 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| 1720119233 | Wal-mart Stores East, L.p. | Technician/Technologist | 201 Chamber Drive, Milford, OH 45150 | 2007-03-08 |
| 1518098011 | Wal-mart Stores East, L.p. | Technician/Technologist | 100 Valley Parkway, Northbridge, MA 01588 | 2007-03-08 |
| 1821129321 | Wal-mart Stores East, L.p. | Technician/Technologist | 1114 Newpoint Blvd, Leland, NC 28451 | 2007-03-08 |
| 1922139344 | Wal-mart Stores East, L.p. | Technician/Technologist | 4928 State Rd. 674, Ruskin, FL 33598 | 2007-03-08 |
| 1033240429 | Wal-mart Stores East, L.p. | Technician/Technologist | 1 Tygart Valley Mall, Fairmont, WV 26554-3430 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | WAL-MART STORES EAST, L.P. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Connecticut Business Registrations | WAL-MART STORES EAST, LIMITED PARTNERSHIP | 702 Sw 8th Street, Bentonville, AR 72716 |
| 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 |
965 BROADHOLLOW RD |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372483 | Michael Pignataro | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1679089551 | Leonardo Lopez | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1740796622 | Kariam Castro | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1548776420 | Benereta Hoxha | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1649502345 | Craig Pezzillo | Pharmacist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2010-02-04 |
| 1295967750 | Tarun K Suri | Pharmacist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2009-08-18 |
| 1356520480 | Anshu Aggarwal I | Pharmacist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2007-10-25 |
| 1669661252 | Nicole Broomfield | Pharmacist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2007-10-18 |
| 1760516678 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407996754 | The Right Sight Inc. | Technician/Technologist | 199 Merritts Rd Ste C, Farmingdale, NY 11735-3246 | 2007-02-07 |
| 1508372483 | Michael Pignataro | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1679089551 | Leonardo Lopez | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1740796622 | Kariam Castro | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1548776420 | Benereta Hoxha | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1801155213 | Emanual Jakakas | Technician/Technologist | 60 Willow Park Ctr, Farmingdale, NY 11735-1001 | 2012-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST, L.P..
| 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.