WAL-MART STORES, INC. (NPI# 1063595544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063595544 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-0124 |
| Practice Address |
8801 Baseline Rd Little Rock AR 72209-5901 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5015650274 |
| Enumeration Date | 2006-10-20 |
| 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 30-0124 | 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 |
8801 BASELINE RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565105 | Edwin Dunaway | Optometrist | 8801 Baseline Rd, Little Rock, AR 72209-5901 | 2005-08-19 |
| 1740881531 | Rosten Scott Riggan | Pharmacist | 8801 Baseline Rd, Little Rock, AR 72209-5901 | 2020-11-06 |
| 1811597768 | Kailey Annette Claunch | Pharmacist | 8801 Baseline Rd, Little Rock, AR 72209-5901 | 2020-10-29 |
| 1316405269 | Envision Eye Care | Optometrist | 8801 Baseline Rd, Little Rock, AR 72209-5901 | 2019-03-11 |
| 1902112667 | Family Vision Clinic | Optometrist | 8801 Baseline Rd, Little Rock, AR 72209-5901 | 2010-08-19 |
| 1508883901 | Walmart Inc. | Pharmacy | 8801 Baseline Rd, Little Rock, AR 72209-5901 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1609012053 | Lonnie E. Burrow | Technician/Technologist | 5909 R St, Little Rock, AR 72207-4417 | 2009-01-06 |
| 1942216718 | Us Vision Optical Inc | Technician/Technologist | 600 S University Ave, Little Rock, AR 72205-5206 | 2006-07-31 |
| 1760808752 | Kindra Brock | Technician/Technologist | 5507 Ranch Dr, Suite 207, Little Rock, AR 72223-4538 | 2014-03-14 |
| 1689924987 | Wal-mart Stores Inc | Technician/Technologist | 700 S Bowman Rd, Little Rock, AR 72211-3616 | 2012-09-13 |
| 1538244496 | Wal-mart Stores, Inc. | Technician/Technologist | 2700 S Shackleford Rd, Little Rock, AR 72211 | 2006-10-26 |
| 1295810885 | Wal-mart Stores, Inc. | Technician/Technologist | 19301 Cantrell Rd, Little Rock, AR 72223-4457 | 2006-10-25 |
| 1073603312 | Sam's Club Optical | Technician/Technologist | 900 S Bowman Rd, Little Rock, AR 72211-3617 | 2006-10-16 |
| 1194747204 | Us Vision Optical Inc | Technician/Technologist | 300 S University Ave, Little Rock, AR 72205-5209 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1063837847 | Rick Rakotz | Technician/Technologist | 1400 N Devils Den Rd, Winslow, AR 72959-2605 | 2014-03-03 |
| 1922355585 | Crystal Vision, Inc | Technician/Technologist | 2935 Lakewood Village Dr, North Little Rock, AR 72116-8033 | 2012-08-13 |
| 1336447887 | Steven Wayne Slane I | Technician/Technologist | 1001 W Walnut St Ste 6, Rogers, AR 72756-3525 | 2011-03-08 |
| 1053643817 | Mickey Lee Drake I | Technician/Technologist | 111 Ponderosa Ln, Suite H, Hot Springs Village, AR 71909-5018 | 2010-02-04 |
| 1235378589 | Zoella Kay Rogers | Technician/Technologist | 5111 Rogers Ave Ste 120p, Fort Smith, AR 72903-2033 | 2009-02-10 |
| 1346401650 | Traci L Wyatt | Technician/Technologist | 104 W Colt Square Dr, Suite 2, Fayetteville, AR 72703-2834 | 2008-06-19 |
| 1811199730 | Larry P. Bryant | Technician/Technologist | 212 Mccalahan, Suite C, Bryant, AR 72022 | 2007-06-04 |
| 1376620559 | Velvet Prewitt | Technician/Technologist | 2511 Harrison St, Batesville, AR 72501-7424 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
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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.