WAL-MART STORES, INC (NPI# 1184711632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184711632 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-2029 |
| Practice Address |
3615 Crater Lake Hwy Medford OR 97504-9259 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 5417702010 |
| Enumeration Date | 2006-10-06 |
| 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 30-2029 | 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 |
3615 CRATER LAKE HWY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-9259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801266234 | Tiburcio Alvarez Jr | Pharmacist | 3615 Crater Lake Hwy, Medford, OR 97504-9259 | 2015-09-28 |
| 1215306212 | Giang Huong Phan | Pharmacist | 3615 Crater Lake Hwy, Medford, OR 97504-9259 | 2015-09-20 |
| 1053712091 | Jeffrey Harder | Pharmacist | 3615 Crater Lake Hwy, Medford, OR 97504-9259 | 2014-09-09 |
| 1730597410 | Michael N Le | Pharmacist | 3615 Crater Lake Hwy, Medford, OR 97504-9259 | 2014-07-25 |
| 1205260148 | Wal-mart Stores Inc | Technician/Technologist | 3615 Crater Lake Hwy, Medford, OR 97504-9259 | 2013-08-28 |
| 1427497643 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3615 Crater Lake Hwy, Medford, OR 97504-9259 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373507 | America's Best Contacts & Eyeglasses | Technician/Technologist | 930 Biddle Rd, Medford, OR 97504-6118 | 2014-03-13 |
| 1437272051 | Medford Eyeglass Shop Inc. | Technician/Technologist | 466 Salem St, Medford, MA 02155-3343 | 2007-04-09 |
| 1083738033 | S. H. Laufer Vision World | Technician/Technologist | 700 Patchogue Yaphank Rd Ste 20, Medford, NY 11763-2235 | 2007-03-16 |
| 1356486294 | Patricia Behrend | Technician/Technologist | 709 Stokes Road, Suite 100, Medford, NJ 08055-3002 | 2007-02-20 |
| 1811971203 | Eyeglass Service Industries | Technician/Technologist | 700 Route 101, 20, Medford, NY 11763-2206 | 2005-11-30 |
| 1790217826 | Ryvette Pagan | Technician/Technologist | 26 City Hall Mall, Medford, MA 02155-4754 | 2017-03-29 |
| 1205260148 | Wal-mart Stores Inc | Technician/Technologist | 3615 Crater Lake Hwy, Medford, OR 97504-9259 | 2013-08-28 |
| 1659635639 | Wal-mart Stores Inc | Technician/Technologist | 1360 Center Dr, Medford, OR 97501 | 2012-06-25 |
| 1437315314 | Group Rossetti Inc | Technician/Technologist | 21 High St, Medford, MA 02155 | 2008-07-31 |
| 1821295023 | Shandell Wingler | Technician/Technologist | 2352 Poplar Dr, Medford, OR 97504-5297 | 2007-06-29 |
| Find all providers in MEDFORD | ||||
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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.