WAL-MART STORES, INC. (NPI# 1124109194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124109194 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-3237 |
| Practice Address |
5521 E Arrowhead Pkwy Sioux Falls SD 57110-0400 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6053673140 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (NPI COORDINATOR) |
| Authorized Official Telephone | 3167885580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-3237 | 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 |
5521 E ARROWHEAD PKWY |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57110-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285672246 | John Wesley Joseph Sivesind | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-06-03 |
| 1487133047 | Stephanie Preheim | Pharmacist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2018-08-14 |
| 1407949753 | Dr. John W Sivesind, O.d., P.C. | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-01 |
| 1669499836 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661438 | Lisa Jo Nafziger | Social Worker | 3216 E 10th St, Sioux Falls, SD 57110 | 2018-12-19 |
| 1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
| 1467517011 | Chad Jerome Hanson | Physical Therapist | 1914 S Sycamore Ave, Suite 108, Sioux Falls, SD 57110 | 2006-12-26 |
| 1407834419 | Lanpher Chiropractic | Chiropractor | 506 N Sycamore Ave, Sioux Falls, SD 57110 | 2006-01-09 |
| 1427605021 | Nicole Lindy Rasmussen | Pharmacist | Walgreens Pharmacy, 1720 South Sycamore Ave, Sioux Falls, SD 57110 | 2019-08-20 |
| 1396770624 | Stephanie Elizabeth Lane | Chiropractor | 5621 E Arrowhead Pkwy, Suite 100, Sioux Falls, SD 57110-0413 | 2006-07-12 |
| 1346512266 | Avera Mckennan | Family Medicine | 1035 South Highline Place, Sioux Falls, SD 57110-1000 | 2012-02-08 |
| 1093967192 | Jessie Lynn Graney | Pharmacist | 1021 S Highline Pl, Sioux Falls, SD 57110-1000 | 2008-10-21 |
| 1700852050 | Tammie V Smart | Nurse Practitioner | 1035 S Highline Pl, Sioux Falls, SD 57110-1000 | 2006-02-27 |
| 1881217016 | Dalton Rowden | Pharmacist | 1021 S Highline Pl, Sioux Falls, SD 57110-1000 | 2020-05-21 |
| Find all providers in zip 57110 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1063769388 | Amj Enterprises | Technician/Technologist | 4426 S Technology Dr, Suite E, Sioux Falls, SD 57106-4203 | 2012-08-06 |
| 1376902510 | Wal-mart Stores, Inc. | Technician/Technologist | 7821 S Minnesota Ave, Sioux Falls, SD 57108 | 2016-02-16 |
| 1235212796 | Wal-mart Stores, Inc. | Technician/Technologist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2006-10-20 |
| 1639250038 | Sam's Club Optical | Technician/Technologist | 3201 S Louise Ave, Sioux Falls, SD 57106-0704 | 2006-10-18 |
| 1710919741 | Sanford Clinic | Technician/Technologist | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164911400 | J & J Optical | Technician/Technologist | 2120 Lazelle St, Sturgis, SD 57785-1316 | 2018-05-02 |
| 1700136041 | W-j Optical | Technician/Technologist | 2101 Broadway Ave, Yankton, SD 57078-1607 | 2012-09-13 |
| 1205184249 | Wal-mart Stores Inc | Technician/Technologist | 100 E Stumer Rd, Rapid City, SD 57701-6417 | 2012-08-23 |
| 1437415148 | Carla J Mcgregor | Technician/Technologist | 916 9th Ave Se, Watertown, SD 57201-5224 | 2012-04-06 |
| 1194029041 | Sams West Inc | Technician/Technologist | 1020 N Lacrosse St, Rapid City, SD 57701 | 2011-01-07 |
| 1043482300 | Kathryn A Thomas | Technician/Technologist | 211 E Havens Ave, Mitchell, SD 57301-4402 | 2008-03-27 |
| 1841324027 | Donald George Woeltge | Technician/Technologist | 2118 N Maple Ave, Rapid City, SD 57701-7813 | 2007-03-16 |
| 1518035187 | Jubal S Pillen | Technician/Technologist | 1020 Junction Ave, Sturgis, SD 57785-1632 | 2006-12-01 |
| 1376611160 | Gary Pillen | Technician/Technologist | 501 Kansas City St, Rapid City, SD 57701-3673 | 2006-12-01 |
| 1063588374 | The Optical Shop Inc. | Technician/Technologist | 112 22nd Ave S, Brookings, SD 57006-2600 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57110 |
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.