WAL-MART STORES EAST, LP (NPI# 1154410850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154410850 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-0424 |
Practice Address |
1415 7th St S Clanton AL 35045-3746 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 2057557574 |
Enumeration Date | 2006-10-12 |
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 30-0424 | 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 |
1415 7TH ST S |
City | CLANTON |
State | AL |
Zip Code | 35045-3746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407849318 | Bonnie E Mallard | Optometrist | 1415 7th St S, Clanton, AL 35045-3746 | 2005-08-25 |
1770013104 | Lisa Bates Downing | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-18 |
1841729654 | Kimberly Fridy | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-06 |
1518496439 | Heath Hogge | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-05 |
1184153058 | Katie Rebecca Fussell | Pharmacist | 1415 7th St S, Clanton, AL 35045-3746 | 2017-06-05 |
1942529292 | Mallard Eyecare, Inc | Optometrist | 1415 7th St S, Clanton, AL 35045-3746 | 2010-05-26 |
1437176732 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1415 7th St S, Clanton, AL 35045-3746 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164912630 | Mesha Cain | Counselor | 808 Lay Dam Road, Clanton, AL 35045 | 2018-05-10 |
1720577562 | Erin Ellis Davis | Nurse Practitioner | 107 Medical Center Drive, Clanton, AL 35045 | 2018-05-07 |
1003055336 | Birmingham Radiological Group, PC | Clinic/Center | 1011 Lay Dam Road, Clanton, AL 35045 | 2009-02-10 |
1154533958 | Sandra Gayle Burrough | Physical Therapist | Amedisys Home Health, 1601-7th Street, North, Suite B, Clanton, AL 35045 | 2007-05-04 |
1508088139 | Christy Vanture Stephens | Occupational Therapist | 1601 7th Street North, Clanton, AL 35045 | 2007-05-03 |
1477620896 | Phillip Dewey Foshee | General Practice | 310 Pinedale Rd, Clanton, AL 35045 | 2006-11-29 |
1396817615 | Christopher W Baker | Dentist | 101 Baker Avenue, Clanton, AL 35045 | 2006-11-14 |
1902985146 | Catrina G. Benson | Pharmacist | 640 Ollie Ave., Clanton, AL 35045 | 2006-11-06 |
1952411464 | Gladys Eleanor R Alolod | Pediatrics | 303 1st St N, Clanton, AL 35045 | 2006-08-30 |
1902827280 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 640 Ollie Ave, Clanton, AL 35045 | 2006-07-21 |
Find all providers in zip 35045 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568564169 | Cecil D Pavey | Technician/Technologist | 700 7th St S, Clanton, AL 35045-3778 | 2006-09-02 |
1962694018 | Chilton County Optical Inc | Technician/Technologist | 700 7th St S, Clanton, AL 35045 | 2007-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
1922575448 | National Vision Inc | Technician/Technologist | 1320 Mcfarland Blvd E Ste 560, Tuscaloosa, AL 35404-5899 | 2018-11-02 |
1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
1891237103 | Stephen A Michael | Technician/Technologist | 1805 N Mckenzie St, Foley, AL 36535-2326 | 2016-11-17 |
1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
1366802175 | National Vision, Inc. | Technician/Technologist | 2798 John Hawkins Pkwy, Ste 112, Hoover, AL 35244-3109 | 2016-03-07 |
1588031413 | Chris Montz | Technician/Technologist | 23050 Mcauliffe Dr, Robertsdale, AL 36567-3122 | 2015-08-26 |
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.