WAL-MART STORES, INC (NPI# 1184709750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184709750 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-3239 |
| Practice Address |
2659 Olympic St Springfield OR 97477-3473 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 5417443004 |
| Enumeration Date | 2006-10-25 |
| 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 30-3239 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| 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 |
| Oklahoma Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
2659 OLYMPIC ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-3473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285679878 | Ben E. Coutant | Optometrist | 2659 Olympic St, Springfield, OR 97477-3473 | 2006-06-18 |
| 1245892504 | Oregon Family Eye Care LLC | Optometrist | 2659 Olympic St, Springfield, OR 97477-3473 | 2019-07-07 |
| 1568980183 | Ding Ren | Pharmacist | 2659 Olympic St, Springfield, OR 97477 | 2017-09-04 |
| 1578089587 | Sheri Ann Rabacal | Pharmacist | 2659 Olympic St, Springfield, OR 97477-3473 | 2017-08-22 |
| 1073982138 | Willaim Siebers | Pharmacist | 2659 Olympic St, Springfield, OR 97477-3473 | 2015-09-18 |
| 1518375922 | Krishna Patel | Pharmacist | 2659 Olympic St, Springfield, OR 97477-3473 | 2014-07-29 |
| 1437567187 | Daniel Turpin | Pharmacist | 2659 Olympic St, Springfield, OR 97477-3473 | 2014-07-25 |
| 1780601831 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2659 Olympic St, Springfield, OR 97477-3473 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1306300884 | National Vision Inc | Technician/Technologist | 2880 Gateway St Ste 302, Springfield, OR 97477-7708 | 2019-01-29 |
| 1376837682 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1624 N Bechtle Ave, Springfield, OH 45504-1572 | 2011-06-03 |
| 1497981385 | America's Best Contact & Eyeglasses | Technician/Technologist | 3207 S Veterans Pkwy, Springfield, IL 62704-7425 | 2009-06-05 |
| 1548401649 | Shelia Gibbs | Technician/Technologist | 1514 Allen St, Springfield, MA 01118-1817 | 2009-03-19 |
| 1295930758 | Gary Paul Feen | Technician/Technologist | 289 Bridge Street, Springfield, MA 01103 | 2007-06-15 |
| 1932234341 | Mark R Heffington | Technician/Technologist | 1550 E Battlefield St Ste J, Springfield, MO 65804-3700 | 2007-02-23 |
| 1689720328 | Edmund A Hasenjager | Technician/Technologist | 352 Cooley St, Springfield, MA 01128-1144 | 2007-01-26 |
| 1730292574 | Wal-mart Stores East, Lp | Technician/Technologist | 1600 N Bechtle Ave, Springfield, OH 45504-1572 | 2006-08-16 |
| 1912300260 | Eric Eisinger | Technician/Technologist | 932 W Columbia St, Springfield, OH 45504-2738 | 2014-10-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.