WAL-MART STORES, INC. (NPI# 1114250834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114250834 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-4352 |
| Practice Address |
3757 55th Ave So Fargo ND 58104 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 7015261167 |
| 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 30-4352 | 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 |
| Oklahoma Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
3757 55TH AVE SO |
| City | FARGO |
| State | ND |
| Zip Code | 58104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770833675 | Teresa Lynn Lisburg | Technician/Technologist | 1404 33rd St Sw, Suite 1, Fargo, ND 58103-3482 | 2012-09-18 |
| 1528382900 | Blue Eye Inc | Technician/Technologist | 100 So 4th St, Ste 108, Fargo, ND 58103-1929 | 2010-03-15 |
| 1649343930 | Douglas John Stavenger | Technician/Technologist | 1547 So University Dr, Fargo, ND 58103 | 2006-11-16 |
| 1114007960 | Sam's Club Optical | Technician/Technologist | 4831 13th Ave S, Fargo, ND 58103-7206 | 2006-10-16 |
| 1528175429 | 3-d Optical Inc | Technician/Technologist | 3402 13th Ave S, Suite E, Fargo, ND 58103-6324 | 2006-08-24 |
| 1033606728 | Aspire Optical Co., LLC | Technician/Technologist | 3265 45th St S Ste 104, Fargo, ND 58104-7930 | 2018-04-18 |
| 1699847293 | Midwest Vision Centers Inc | Technician/Technologist | 3051 25th St S, Suite K2, Fargo, ND 58103-6102 | 2006-11-15 |
| 1023198868 | Wal-mart Stores, Inc. | Technician/Technologist | 4731 13th Ave S, Fargo, ND 58103-7205 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104318575 | Kelsie Ann Butts | Technician/Technologist | 1487 E Lasalle Dr, Bismarck, ND 58503-5653 | 2018-06-01 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1508291626 | Lighthouse Optical Inc. | Technician/Technologist | 317 Cooper Ave, Grafton, ND 58237 | 2013-09-09 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1437451440 | David Pederson | Technician/Technologist | 4551 S Washington St Ste H, Grand Forks, ND 58201-3495 | 2010-11-23 |
| 1619169174 | John Bitz | Technician/Technologist | 210 W Front Ave, Bismarck, ND 58504-5503 | 2007-08-17 |
| 1104906940 | Wal-mart Stores, Inc. | Technician/Technologist | 2003 3rd Ave W, Dickinson, ND 58601-3024 | 2006-10-16 |
| 1316037591 | Sam's Club Optical | Technician/Technologist | 2501 32nd Ave S, Grand Forks, ND 58201-6542 | 2006-10-16 |
| 1922188762 | Wal-mart Stores, Inc. | Technician/Technologist | 2551 32nd Ave S, Grand Forks, ND 58201-6542 | 2006-10-16 |
| 1205916046 | Wal-mart Stores, Inc. | Technician/Technologist | 1901 22nd Ave Sw, Minot, ND 58701-6988 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAL-MART STORES, INC..
| 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.