WAL-MART STORES INC. (NPI# 1184707697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184707697 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES INC. |
| Other Organization Name | WAL-MART VISION CENTER 30-0905 |
| Practice Address |
2285 East Ken Pratt Blvd Longmont CO 80504 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3036781906 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-07-28 |
| Authorized Official Name | DIANNA M. PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-0905 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417261207 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 7101 E 128th St., Thornton, CO 80221 | 2010-08-04 |
| 1235314956 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 2445 Illinois Route 27 So. Rd., Freeport, IL 61032 | 2007-12-31 |
| 1508929696 | Wal-mart Stores Inc. | Technician/Technologist | 16502 Meridian Ave. E., Puyallup, WA 98375 | 2006-12-19 |
| 1548415516 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 5565 20th St, Vero Beach, FL 32966-4632 | 2008-11-18 |
| 1194970244 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2008-11-17 |
| 1548466717 | Wal-mart Stores Inc. | Technician/Technologist | 659 Knox Square Dr, Galesburg, IL 61401 | 2007-06-25 |
| Street Address |
2285 EAST KEN PRATT BLVD |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700244092 | Hti LLC, Dba Pearle Vision Center | Eyewear Supplier (Equipment, not the service) | 180 Ken Pratt Blvd Ste 200, Longmont, CO 80501-8974 | 2016-02-02 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| 1518029610 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 551 S Hover Rd, Longmont, CO 80501-7920 | 2006-12-14 |
| 1336236561 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1250 S Hover Rd, Twin Peaks Mall, Longmont, CO 80501-7939 | 2006-10-09 |
| 1770637480 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1250 S Hover Rd, Twin Peaks Mall Ste #5, Longmont, CO 80501-7939 | 2007-01-22 |
| 1154487320 | Front Range Optical | Eyewear Supplier (Equipment, not the service) | 1319 Vivian St, Longmont, CO 80501 | 2006-12-29 |
| 1831260389 | The Optical Centre, Inc. | Eyewear Supplier (Equipment, not the service) | 521 Main St, Longmont, CO 80501-8503 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049266 | Mbo Vision, Inc | Eyewear Supplier (Equipment, not the service) | 18148 W 92nd Ln, Suite 400, Arvada, CO 80007-8164 | 2020-09-24 |
| 1992311062 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6378 Promenade Pkwy # A100, Castle Rock, CO 80108-1910 | 2020-09-23 |
| 1013522010 | Western States Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1268 Interquest Pkwy Ste 120, Colorado Springs, CO 80921-4209 | 2020-09-15 |
| 1669006896 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1750 29th St Unit 1046, Boulder, CO 80301-1027 | 2020-02-26 |
| 1023651015 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14535 Delaware St, Westminster, CO 80023-9175 | 2019-10-22 |
| 1609426121 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1805 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-09-17 |
| 1174178016 | Sowash Optometry Group, P.C. | Eyewear Supplier (Equipment, not the service) | 4765 Front St Ste D, Castle Rock, CO 80104-7938 | 2019-08-07 |
| 1588140180 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1805 Blake St Ste H-2, Denver, CO 80202-1227 | 2018-07-17 |
| 1780182618 | Sowash Optometry Group, P.C. | Eyewear Supplier (Equipment, not the service) | 4918b Thompson Pkwy, Johnstown, CO 80534-6425 | 2018-01-25 |
| 1518475177 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3000 E 1st Ave Ste 168, Denver, CO 80206-5640 | 2018-01-17 |
| 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.