WAL-MART STORES EAST, LP (NPI# 1184704793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184704793 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-5029 |
| Practice Address |
3721 Navarre Ave Oregon OH 43616-3433 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 4196982034 |
| Enumeration Date | 2006-10-17 |
| 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 30-5029 | 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 |
3721 NAVARRE AVE |
| City | OREGON |
| State | OH |
| Zip Code | 43616-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114944311 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3721 Navarre Ave, Oregon, OH 43616-3433 | 2006-07-16 |
| 1740881234 | James T Seevers | Pharmacist | 3721 Navarre Ave, Oregon, OH 43616-3433 | 2020-11-03 |
| 1861092496 | Kristen Tussing | Pharmacist | 3721 Navarre Ave, Oregon, OH 43616-3433 | 2020-11-01 |
| 1578163689 | Kori Wargacki | Pharmacist | 3721 Navarre Ave, Oregon, OH 43616-3433 | 2020-10-28 |
| 1518567015 | Ryanne Wolfe | Pharmacist | 3721 Navarre Ave, Oregon, OH 43616-3433 | 2020-10-26 |
| 1043331960 | Cole Dove | Optometrist | 3721 Navarre Ave, Oregon, OH 43616-3433 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068605 | Cathy Sue Bigley | Technician/Technologist | 41 Pineview Dr, Oregon, OH 43616-2636 | 2020-03-17 |
| 1861651028 | Reed Vision Associates, P.C. | Technician/Technologist | 3165 Navarre Ave, Oregon, OH 43616-4348 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174133466 | Robert James Hessler | Technician/Technologist | 21 S Ridge Dr, Amelia, OH 45102-2358 | 2020-08-03 |
| 1003377045 | Erikka Hermiller | Technician/Technologist | 517 Monroe Ave, Findlay, OH 45840-3739 | 2019-03-30 |
| 1215496989 | National Vision Inc | Technician/Technologist | 2227 State Route 256 Unit A, Reynoldsburg, OH 43068-9326 | 2019-03-13 |
| 1033675988 | Racquel Montijo Montijo | Technician/Technologist | 7410 Jameson Rd, Parma, OH 44129-2816 | 2019-02-15 |
| 1053885244 | National Vision Inc | Technician/Technologist | 4172 Buckeye Pkwy, Grove City, OH 43123-8175 | 2019-01-22 |
| 1093233306 | Robin P Wiley | Technician/Technologist | 3643 Countryside Ln, Avon, OH 44011-2623 | 2017-09-07 |
| 1851827596 | Linda Fitzgerald | Technician/Technologist | 777 Presidential Dr, Youngstown, OH 44512-5714 | 2017-05-01 |
| 1477091296 | Rachelle Nieves | Technician/Technologist | 30426 Euclid Ave, Wickliffe, OH 44092-1578 | 2017-02-01 |
| 1992255038 | John E Stuckey | Technician/Technologist | 104 S Miami St, West Milton, OH 45383-1551 | 2016-10-13 |
| 1952754426 | Nakita Aquino | Technician/Technologist | 4314 Hyde Park, Unit 7, North Olmsted, OH 44070-5209 | 2016-07-19 |
| 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.