WAL-MART STORES, INC. (NPI# 1134200967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134200967 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-5115 |
| Practice Address |
3101 W Kimberly Rd Davenport IA 52806-3400 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5634450272 |
| 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 30-5115 | 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 |
3101 W KIMBERLY RD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014527 | Ronald Leslie Borcherding | Optometrist | 3101 W Kimberly Rd, Davenport, IA 52806-3400 | 2005-09-22 |
| 1346866126 | Amanda Lynn Boone | Pharmacist | 3101 W Kimberly Rd, Davenport, IA 52806-3400 | 2020-06-17 |
| 1639205339 | R. L. Borcherding Od Plc | Optometrist | 3101 W Kimberly Rd, Davenport, IA 52806-3400 | 2007-02-26 |
| 1285651679 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3101 W Kimberly Rd, Davenport, IA 52806-3400 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447404256 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5717 Elmore Ave Ste C, Davenport, IA 52807-3514 | 2008-11-06 |
| 1780765453 | Sam's Club Optical | Technician/Technologist | 3887 Elmore Ave, Davenport, IA 52807-2504 | 2006-10-18 |
| 1306927405 | Wal-mart Stores, Inc. | Technician/Technologist | 5811 Elmore Ave, Davenport, IA 52807-3513 | 2006-10-17 |
| 1659478725 | Pearle Vision Inc | Technician/Technologist | 320 W Kimberly Rd, Davenport, IA 52806-5920 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341843 | Robin Christine Singleton | Technician/Technologist | 103 2nd St Se, Altoona, IA 50009-1809 | 2018-10-02 |
| 1689087538 | Innovative Ear & Hearing | Technician/Technologist | 1620 Jfk Rd, Dubuque, IA 52002-5302 | 2014-06-09 |
| 1942645056 | John Robert Jansen | Technician/Technologist | 613 G Ave, Grundy Center, IA 50638 | 2013-05-02 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1992025399 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2515 Nw Arterial Ste 2, Dubuque, IA 52002-0400 | 2010-06-08 |
| 1720316243 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3701 Metro Dr Ste 400, Council Bluffs, IA 51501-7738 | 2009-11-20 |
| 1790013217 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3005 Wiley Blvd Sw Ste 114, Cedar Rapids, IA 52404-3178 | 2009-11-20 |
| 1720232531 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1805 Se Delaware Ave Ste 900, Ankeny, IA 50021-3935 | 2008-11-06 |
| 1316123763 | Us Vision Optical Inc | Technician/Technologist | 3333 Market Place Dr, Council Bluffs, IA 51501-8287 | 2008-01-16 |
| 1548483639 | Russ Uptown Optical Inc | Technician/Technologist | 4122 University Ave, Des Moines, IA 50311-3533 | 2007-04-10 |
| 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.