WAL-MART STORES EAST, LP (NPI# 1093139503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093139503 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-5448 |
| Practice Address |
160 Broadway Raynham MA 02767-1414 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 5086926523 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR GOVERNMENT CONTRACTING) |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-5448 | 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 |
160 BROADWAY |
| City | RAYNHAM |
| State | MA |
| Zip Code | 02767-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851316 | Amy Katherine Losordo | Pharmacist | 160 Broadway, Raynham, MA 02767-1414 | 2020-11-05 |
| 1548718786 | I-care Family Vision Center, LLC | Optometrist | 160 Broadway, Raynham, MA 02767-1414 | 2016-09-16 |
| 1336570381 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 160 Broadway, Raynham, MA 02767-1414 | 2013-12-02 |
| 1104127943 | Qiqi Cui | Optometrist | 160 Broadway, Raynham, MA 02767-1414 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
| 1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
| 1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
| 1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
| 1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
| 1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
| Find all providers in zip 02767 | ||||
| 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 |
|---|---|---|---|---|
| 1689873648 | Vision Works, Inc. | Eyewear Supplier (Equipment, not the service) | 302 Broadway Unit 4, Raynham, MA 02767-1439 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1699373662 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 420 Attucks Ln, Hyannis, MA 02601-8141 | 2020-10-13 |
| 1619575693 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 495 Hubbard Ave, Pittsfield, MA 01201-3810 | 2020-10-13 |
| 1578161543 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Crown Colony Dr, Quincy, MA 02169-0959 | 2020-10-13 |
| 1346848272 | Onsight Vision, LLC | Eyewear Supplier (Equipment, not the service) | 177 Huntington Ave Ste 1700, #7005, Boston, MA 02115-3165 | 2020-10-13 |
| 1679171755 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 42 Colrain Rd, Greenfield, MA 01301-9625 | 2020-10-12 |
| 1902404148 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 25 Shelley Rd, Haverhill, MA 01835-8033 | 2020-10-10 |
| 1881292027 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1 Highland Common West, Hudson, MA 01749-2048 | 2020-10-10 |
| 1285231878 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 5 Ward St, Revere, MA 02151-1319 | 2020-10-06 |
| 1881200574 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 460 State Rd, N Dartmouth, MA 02747-4308 | 2020-09-18 |
| 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.