WAL-MART STORES, INC (NPI# 1063800175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063800175 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | WALMART VISION CENTER 30-3150 |
| Practice Address |
1800 N 16th St Council Bluffs IA 51501-0123 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7128903916 |
| Practice Fax Number | 7123520288 |
| Mailing Telephone | 4792582115 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |
| Authorized Official Name | DEB LAUVER (SPECIALIST PLAN ENROLLMENT) |
| Authorized Official Telephone | 4782582115 |
| 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 |
|---|---|
| Walmart Vision Center 30-3150 | 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 |
1800 N 16TH ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-0123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871120642 | Meghan Jean Halverson | Pharmacist | 1800 N 16th St, Council Bluffs, IA 51501-0123 | 2020-03-23 |
| 1821404716 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1800 N 16th St, Council Bluffs, IA 51501-0123 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| 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 |
|---|---|---|---|---|
| 1477615268 | Tobin Optical Center | Eyewear Supplier (Equipment, not the service) | 900 Woodbury, Suite 8b, Council Bluffs, IA 51503 | 2006-12-15 |
| 1073601589 | Eyemasters Inc | Eyewear Supplier (Equipment, not the service) | 1751 Madison Avenue, Suite 508, Council Bluffs, IA 51503 | 2006-10-10 |
| 1821433517 | Kmcl, LLC | Eyewear Supplier (Equipment, not the service) | 1751 Madison Ave, #200, Council Bluffs, IA 51503-5246 | 2013-05-08 |
| 1366608440 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 3271 Marketplace Dr, Council Bluffs, IA 51501-7908 | 2008-07-29 |
| 1578612248 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1751 Madison Ave, Mall of The Bluffs, Council Bluffs, IA 51503-5246 | 2007-01-10 |
| 1922105196 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1751 Madison Ave, Mall of The Bluffs Ste #200, Council Bluffs, IA 51503-5246 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538711775 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 440 S 68th St Ste 107-108, West Des Moines, IA 50266-8431 | 2019-07-09 |
| 1588220974 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3500 Dodge St Ste 110b, Dubuque, IA 52003-5208 | 2019-05-12 |
| 1215593686 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2927 Hamilton Blvd, Sioux City, IA 51104-2405 | 2019-05-11 |
| 1104482579 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3570 4th St Sw Ste 400, Mason City, IA 50401-1550 | 2019-05-11 |
| 1902382773 | Vision4less | Eyewear Supplier (Equipment, not the service) | 1810 N Coral St, Coralville, IA 52241-7606 | 2018-07-16 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1043760093 | Hw Holdings | Eyewear Supplier (Equipment, not the service) | 2027 Crossroads Blvd, Waterloo, IA 50702-4405 | 2016-10-13 |
| 1053861005 | Hw Holdings | Eyewear Supplier (Equipment, not the service) | 1035 Lawrence St Ste 106, Burlington, IA 52601-1549 | 2016-10-13 |
| 1659705051 | Glasses Connect Inc. | Eyewear Supplier (Equipment, not the service) | 5801 Se 24th St Unit 75, Des Moines, IA 50320-4704 | 2013-08-21 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
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.