WAL-MART STORES, INC. (NPI# 1154402204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154402204 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-2716 |
| Practice Address |
3601 29th Ave Sw Cedar Rapids IA 52404-3109 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3193909922 |
| Enumeration Date | 2006-10-17 |
| 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 30-2716 | 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 |
| Street Address |
3601 29TH AVE SW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088038 | Sam Chadwell Kang | Optometrist | 3601 29th Ave Sw, Cedar Rapids, IA 52404-3109 | 2006-01-17 |
| 1518587757 | Chris Mather | Pharmacist | 3601 29th Ave Sw, Cedar Rapids, IA 52404-3109 | 2020-04-17 |
| 1295363869 | Kandace Furler | Pharmacist | 3601 29th Ave Sw, Cedar Rapids, IA 52404-3109 | 2020-03-30 |
| 1982232716 | Jesse Monthei | Pharmacist | 3601 29th Ave Sw, Cedar Rapids, IA 52404-3109 | 2020-03-28 |
| 1629324934 | David Heckman | Pharmacist | 3601 29th Ave Sw, Cedar Rapids, IA 52404-3109 | 2012-07-24 |
| 1003833492 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3601 29th Ave Sw, Cedar Rapids, IA 52404-3109 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790013217 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3005 Wiley Blvd Sw Ste 114, Cedar Rapids, IA 52404-3178 | 2009-11-20 |
| 1508059866 | Kari Ozburn | Technician/Technologist | 4330 Czech Ln Ne, Cedar Rapids, IA 52402-2334 | 2007-08-21 |
| 1891988150 | Elaine Baily | Technician/Technologist | 4330 Czech Ln Ne, Cedar Rapids, IA 52402-2334 | 2007-08-21 |
| 1275614091 | Wal-mart Stores, Inc. | Technician/Technologist | 2645 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1802 | 2006-10-18 |
| 1558465989 | Sam's Club Optical | Technician/Technologist | 2605 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1802 | 2006-09-07 |
| 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 |
| 1447404256 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5717 Elmore Ave Ste C, Davenport, IA 52807-3514 | 2008-11-06 |
| 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 | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
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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.