WAL-MART STORES EAST, LP (NPI# 1063964138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063964138 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-6789 |
| Practice Address |
204 Ingram Dr King NC 27021-8206 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 3362966035 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACT & ENROLL) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| 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 30-6789 | 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 |
204 INGRAM DR |
| City | KING |
| State | NC |
| Zip Code | 27021-8206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509561 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 204 Ingram Dr, King, NC 27021-8206 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1669681854 | King Medical Associates | Family Medicine | 202 Scenic Drive, King, NC 27021 | 2007-05-22 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| Find all providers in zip 27021 | ||||
| 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 |
|---|---|---|---|---|
| 1982202966 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1433 Boone Station Dr, Burlington, NC 27215-8229 | 2020-10-13 |
| 1053918599 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6301 Triangle Plantation Dr, Raleigh, NC 27616-5174 | 2020-10-07 |
| 1609483841 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 255 Shenstone Ln, Garner, NC 27529-6906 | 2020-09-30 |
| 1619584000 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7905 Lyles Ln Nw, Concord, NC 28027-7111 | 2020-09-29 |
| 1174130041 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 141 Gallery Center Dr, Mooresville, NC 28117-6307 | 2020-09-25 |
| 1013524909 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 8811 Brier Creek Pkwy, Raleigh, NC 27617-7585 | 2020-09-25 |
| 1063029098 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2370 Walnut St, Cary, NC 27518-9210 | 2020-09-24 |
| 1114534120 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 11715 Carolina Place Pkwy, Pineville, NC 28134-8819 | 2020-09-24 |
| 1093326514 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4010 Durham Chapel Hill Blvd Ste 400, Durham, NC 27707-2425 | 2020-08-10 |
| 1346875028 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3916 E Franklin Blvd Ste 160, Gastonia, NC 28056-9220 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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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.