WAL-MART STORES, INC. (NPI# 1093048712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093048712 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-2006 |
| Practice Address |
306 5th St Clarkston WA 99403 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 2087468364 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | HOLLY C WILKINSON (HEALTH & WELLNESS OPTICAL INSURANCE) |
| 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 30-2006 | 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 |
| Street Address |
306 5TH ST |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396977203 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 306 5th St, Clarkston, WA 99403-1860 | 2009-08-12 |
| 1386014371 | Brayton Zipse | Pharmacist | 306 5th St, Clarkston, WA 99403-1860 | 2015-10-02 |
| 1568879609 | Jennifer Renee Leonard | Pharmacist | 306 5th St, Clarkston, WA 99403-1860 | 2014-07-21 |
| 1568710200 | Martin Merriel Harris | Optometrist | 306 5th St, Clarkston, WA 99403-1860 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790838050 | John Anthony Pasfield | Technician/Technologist | 7196 N Main St, Clarkston, MI 48346-1571 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| 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.