WAL-MART STORES, INC. (NPI# 1023171139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023171139 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WAL-MART VISION CENTER 30-3799 |
| Practice Address |
240 W Baseline Rd Mesa AZ 85210-6107 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0445 |
| Practice Telephone | 4806689518 |
| Practice Fax Number | 4806699520 |
| Mailing Telephone | (479) 277-2500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| 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 30-3799 | Doing Business As Name - Organization |
| Walmart Vision Center 30-1023171139 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| 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 |
| Oklahoma Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
240 W BASELINE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467002766 | Tan Nhut Tien | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2019-09-18 |
| 1518447580 | Madison Michelle Fitch | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2018-08-18 |
| 1740654722 | Franz Jungblut | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2015-11-13 |
| 1578933107 | Sabra Clark | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2015-09-24 |
| 1518380906 | Pranjali Malge | Pharmacist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2014-01-21 |
| 1538503230 | Nicole A Flynn | Pharmacist | 240 W Baseline Rd, Pharmacy 3799, Mesa, AZ 85210-6107 | 2013-04-24 |
| 1851568083 | Barry S Herndon Od Pllc | Optometrist | 240 W Baseline Rd, Mesa, AZ 85210 | 2008-05-16 |
| 1700941754 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1851675003 | Licata Optical LLC | Eyewear Supplier (Equipment, not the service) | 2048 E Baseline Rd, C-6, Mesa, AZ 85204-6969 | 2011-10-06 |
| 1104003532 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1445 W Sern Ave, Fiesta Mall Ste #1080, Mesa, AZ 85202-4803 | 2008-01-29 |
| 1013128735 | Dibok, Inc | Eyewear Supplier (Equipment, not the service) | 1050 W. Main St, Suite 102, Mesa, AZ 85201-7110 | 2007-05-24 |
| 1790821932 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1365 S. Alma School Road, Mesa, AZ 85210 | 2007-01-29 |
| 1376699108 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6555 E Southern Ave Ste 1508, Mesa, AZ 85206-3724 | 2007-01-26 |
| 1780738591 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1649 S Stapley Dr Ste 108, Mesa, AZ 85204 | 2007-01-22 |
| 1528115391 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1425 W Sern Ave, Fiesta Mall, Mesa, AZ 85202-4814 | 2007-01-04 |
| 1780771014 | Tom Sowash Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1938 S Dobson Rd, Mesa, AZ 85202-5658 | 2006-10-06 |
| 1053408344 | Tom Sowash Od & Associates | Eyewear Supplier (Equipment, not the service) | 6555 E Southern Ave, Suite 2410, Mesa, AZ 85206-3718 | 2006-10-06 |
| 1851482913 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6515 Esern Ave, Superstition Spring Mall, Mesa, AZ 85206-3711 | 2006-09-27 |
| Find all providers in MESA | ||||
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| 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.