WAL-MART STORES EAST, LP (NPI# 1154403087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154403087 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-0589 |
Practice Address |
11901 Standiford Plaza Dr Louisville KY 40229-5906 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 5029686800 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | NICOLE D GENTILE (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 30-0589 | 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 |
11901 STANDIFORD PLAZA DR |
City | LOUISVILLE |
State | KY |
Zip Code | 40229-5906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124072871 | Michael J Morris | Optometrist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2006-05-19 |
1013518760 | Hannah Thomas | Pharmacist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2020-11-07 |
1568063063 | Jason S Beals | Pharmacist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2020-11-03 |
1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
1710405105 | Stephanie Mesha Bryant | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2017-09-06 |
1396294401 | Hershema Burnett | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2016-09-30 |
1356711063 | Izabella Maria Sullivan | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2015-10-07 |
1467885251 | Elizabeth Hugenberg | Pharmacist | 11901 Standiford Plaza Dr, Pharmacy, Louisville, KY 40229-5906 | 2013-08-15 |
1922394352 | Shoshana Dupree | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2011-06-23 |
1255659090 | Julie Ann Buckman | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2010-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
1649472655 | Janice K Jones | Physical Therapy Assistant | 5111 Commerce Crossing Suite 100, Louisville, KY 40229 | 2007-06-01 |
1528102183 | R Douglas Edwards Jr. | Dentist | 3807 Freedom Way, Louisville, KY 40229 | 2007-02-16 |
1407833940 | Robert D Bretz | Radiology | 879 Old Preston Highway North, Louisville, KY 40229 | 2005-12-27 |
1134606619 | Brynn Ashley Dombroski | Behavioral Analyst | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-07-26 |
1669972923 | Mariah Evelyn Laird | Occupational Therapist | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-02-13 |
1134664949 | Jessica Ann Mattingly | Nurse Practitioner | 170 Dr Arla Way, Louisville, KY 40229 | 2017-01-03 |
1356727929 | Meredith Kyle-alvey Luckett | Physical Therapist | 170 Dr Arla Way, Louisville, KY 40229 | 2015-08-06 |
1861688459 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9500 Preston Hwy, Louisville, KY 40229-1166 | 2007-09-18 |
1063835296 | Brittany Ward | Pharmacist | 9500 Preston Hwy, Louisville, KY 40229-1199 | 2014-01-23 |
Find all providers in zip 40229 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
1720578446 | Kenneth Antonio Shoats Jr. | Technician/Technologist | 1325 Bardstown Rd, Louisville, KY 40204-1319 | 2018-05-17 |
1518270669 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3618 Mall Rd, Louisville, KY 40218-5403 | 2010-07-19 |
1821300930 | America's Best Contacts & Eyeglasses | Technician/Technologist | 12905 Shelbyville Rd, Louisville, KY 40243-2411 | 2010-07-06 |
1831314806 | Designer Eyewear Inc | Technician/Technologist | 4159 Shelbyville Rd, Louisville, KY 40207-3202 | 2007-04-16 |
1790807485 | Elizabeth Beckham | Technician/Technologist | 4720 Lowe Rd, Louisville, KY 40220-1552 | 2007-04-04 |
1396877585 | Darlene Rowlett | Technician/Technologist | 6809 Fordham Ln, Louisville, KY 40291-2448 | 2007-03-12 |
1174655351 | Joann Hurle | Technician/Technologist | 3904 Springbrooke Cv, Louisville, KY 40241-3000 | 2007-03-12 |
1982792271 | Charles D Krebs | Technician/Technologist | 129 Saint Matthews Ave, Louisville, KY 40207-3141 | 2006-10-11 |
1538175971 | Us Vision Optical Inc | Technician/Technologist | 4807 Outer Loop, Louisville, KY 40219-3200 | 2006-07-31 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40229 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST, LP.
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.