WAL-MART STORES, INC. (NPI# 1083851612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083851612 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-0806 |
| Practice Address |
571 Walton Blvd Las Cruces NM 88001-8449 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5755251222 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Authorized Official Name | MRS. HOLLY C WILKINSON (OPTICAL INSURANCE ASSOCIATE) |
| Authorized Official Telephone | 4792048320 |
| 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 30-0806 | 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 |
| Street Address |
571 WALTON BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-8449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528006285 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2006-06-03 |
| 1407361777 | Jessica Desanto | Pharmacist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2017-12-08 |
| 1285013334 | Ehi Okogbo | Pharmacist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2015-05-22 |
| 1194132274 | Ramon Martinez | Pharmacist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2014-07-21 |
| 1891869921 | Jesse Eddie Sowards | Optometrist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2006-11-20 |
| 1073530119 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437254992 | Med Park Optical Shoppe | Technician/Technologist | 1300 El Paseo, Ste F, Las Cruces, NM 88001-6039 | 2006-09-13 |
| 1417052978 | Southwest Optical, LLC | Technician/Technologist | 2030 S Solano, Las Cruces, NM 88001 | 2006-09-13 |
| 1154709749 | Paul Stevenson | Technician/Technologist | 1300 El Paseo Rd, Suite F, Las Cruces, NM 88001-6024 | 2015-05-14 |
| 1639386881 | Miguel Angel Avalos | Technician/Technologist | 3961 E Lohman Ave, Suite 11, Las Cruces, NM 88011-8269 | 2007-05-17 |
| 1427129311 | Wal-mart Stores East, Lp | Technician/Technologist | 1550 S Valley Dr, Las Cruces, NM 88005-3110 | 2006-11-13 |
| 1891889192 | Sam's Club Optical | Technician/Technologist | 2711 N Telshor Blvd, Las Cruces, NM 88011-8202 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187912 | Jacqueline Rodriguez | Technician/Technologist | 1110 Vuelta De Las Acequias, Santa Fe, NM 87507-7105 | 2020-02-24 |
| 1275056186 | Marie Angela Archibeque | Technician/Technologist | 2910 San Mateo Blvd Ne Ste 6, Albuquerque, NM 87110-3187 | 2017-07-23 |
| 1558882910 | Norma Karram | Technician/Technologist | 1300 W Maloney Ave Ste 208, Gallup, NM 87301-3325 | 2017-07-06 |
| 1295188050 | Vista Optical | Technician/Technologist | 102 W Octagon St, Bldg 77b, Cannon Afb, NM 88103-5207 | 2016-07-18 |
| 1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1548541204 | Roberta Jean Montoya I | Technician/Technologist | 3905 Isleta Blvd Sw, Albuquerque, NM 87105-6130 | 2011-09-07 |
| 1144534892 | Kathryn Branch Casey | Technician/Technologist | 1101 State Road 1, Socorro, NM 87801-5004 | 2010-08-04 |
| 1629396015 | Lorraine Gomez | Technician/Technologist | 4201 Central Ave Ne, #b2, Albuquerque, NM 87105-1630 | 2010-05-10 |
| 1043534209 | Ray J Montoya | Technician/Technologist | 1908 N Prince St, Clovis, NM 88101-4857 | 2010-03-17 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.