WAL-MART STORES INC (NPI# 1083914733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083914733 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES INC |
| Other Organization Name | VISION CENTER 30-3742 |
| Practice Address |
1486 Dike Access Rd Woodland VA 98674 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0445 |
| Practice Telephone | 3602255186 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| 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 |
|---|---|
| Vision Center 30-3742 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871980219 | Wal-mart Stores Inc | Technician/Technologist | 4425 Venetucci Blvd, Fountain, CO 80906 | 2015-04-23 |
| 1932590999 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 605 Orchard Dr, Hillsboro, KS 67063-3502 | 2015-02-12 |
| 1538558994 | Wal-mart Stores Inc | Technician/Technologist | 3460 W Chandler Blvd, Chandler, AZ 85226-5065 | 2015-01-22 |
| 1861897134 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1105 E 15th St, Ellsworth, KS 67439-8548 | 2014-10-29 |
| 1316342686 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 120 W Rosewood St, Rose Hill, KS 67133-9301 | 2014-10-29 |
| 1578967212 | Wal-mart Stores Inc | Pharmacy | 1531 E Highway 64, Coal Hill, AR 72832-8704 | 2014-10-09 |
| 1568865368 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 720 N Hwy 71, Mansfield, AR 72940 | 2014-10-07 |
| 1497158349 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 900 E Ross St, Clearwater, KS 67026-7849 | 2014-10-07 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
| Street Address |
1486 DIKE ACCESS RD |
| City | WOODLAND |
| State | VA |
| Zip Code | 98674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497983811 | Jennifer Tran | Optometrist | 1486 Dike Access Rd, Woodland, WA 98674-9359 | 2009-06-24 |
| 1215338520 | Brian E Flug | Pharmacist | 1486 Dike Access Rd, Woodland, WA 98674-9359 | 2014-09-07 |
| 1902214877 | Jaime Butterfield | Pharmacist | 1486 Dike Access Rd, Woodland, WA 98674-9359 | 2014-07-23 |
| 1427357169 | Transvision Eyecare Pllc | Optometrist | 1486 Dike Access Rd, Woodland, WA 98674-9359 | 2011-03-21 |
| 1710287438 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1486 Dike Access Rd, Woodland, WA 98674-9359 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328409 | Susan E Van Skike | Social Worker | 38503 Nw Goose Hill Avenue, Woodland, WA 98674 | 2019-10-25 |
| 1336599323 | Erin Hutchinson | Counselor | 1251 Lewis River Road, Ste. A, Woodland, WA 98674 | 2016-06-21 |
| 1972977577 | Kelsey Ann Miller | Speech-Language Pathologist | 800 Second Street Wsd Special Service, Woodland, WA 98674 | 2015-11-19 |
| 1598194482 | Elizabeth Grendahl | Massage Therapist | 1227-h North Goerig, Woodland, WA 98674 | 2013-11-01 |
| 1417258674 | Safeway Pharmacy | Pharmacy | Safeway 1725 Pacific Avenue, Woodland, WA 98674 | 2010-11-04 |
| 1538370267 | Tiffany Marie Rose | Massage Therapist | 38803 Ne 2nd Ave, Lacenter, WA 98674 | 2007-05-24 |
| 1417161555 | Jack L Vandyke | Dentist | 640 Georig St, Woodland, WA 98674 | 2007-05-09 |
| 1619934007 | Pearson Medical Clinic Pllc | Internal Medicine | 527 2nd Street, Woodland, WA 98674 | 2006-04-28 |
| 1710018213 | Tammy Wallace | Specialist | 1227 Goerig Rd, Ste H, Woodland, WA 98674 | 2007-03-08 |
| 1275921090 | Mia Nicole Treasure | Specialist | 2418 Nw Hayes Rd, Woodland, WA 98674-2218 | 2014-12-31 |
| Find all providers in zip 98674 | ||||
| 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 |
|---|---|---|---|---|
| 1245285279 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1720 E Main St, Woodland, CA 95776-6223 | 2006-05-25 |
| 1780074351 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2299 Bronze Star Dr, Woodland, CA 95776-5409 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224651 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7378 Bell Creek Rd, Mechanicsville, VA 23111-3545 | 2020-10-26 |
| 1689272650 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6607 Wilson Blvd, Falls Church, VA 22044-3311 | 2020-10-13 |
| 1588262729 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2000 Power Plant Pkwy, Hampton, VA 23666-3155 | 2020-10-10 |
| 1760098370 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 14123 Noblewood Plz, Woodbridge, VA 22193-1400 | 2020-09-18 |
| 1134772023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1449 Tomcat Blvd Bldg 292, Virginia Beach, VA 23460-2177 | 2019-07-19 |
| 1740841444 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2920 District Ave Ste 130, Fairfax, VA 22031-4481 | 2019-06-24 |
| 1093371841 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4238 Wilson Blvd Ste 1220, Arlington, VA 22203-1833 | 2019-05-17 |
| 1407411770 | Focus Optical Boutique LLC | Eyewear Supplier (Equipment, not the service) | 232 Mason Ave, Cape Charles, VA 23310 | 2019-05-02 |
| 1821557752 | Dhls Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6343 Columbia Pike, Falls Church, VA 22041-1243 | 2019-03-19 |
| 1639646987 | Infinity Eyecare of Danville Inc. | Eyewear Supplier (Equipment, not the service) | 349 Piney Forest Rd Ste A, Danville, VA 24540-4121 | 2018-10-25 |
| 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.