WAL-MART STORES EAST, LP (NPI# 1215102082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215102082 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-4295 |
| Practice Address |
6225 Coliseum Blvd Alexandria LA 71303 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 3184488797 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DAVID J SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-4295 | 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 |
6225 COLISEUM BLVD |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922284355 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6225 Coliseum Blvd, Alexandria, LA 71303-3980 | 2008-01-16 |
| 1750980942 | Taylor L Ashworth | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3980 | 2020-10-20 |
| 1194333526 | John Auhai Nguyen | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3980 | 2020-07-22 |
| 1710389028 | Michael Crockett | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-09-17 |
| 1225439102 | Randy Dauzat | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-09-10 |
| 1336549641 | Mark Dubroc | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-08-25 |
| 1285033548 | Vinh Van Le | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-08-22 |
| 1184023491 | Gregory Hackney | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205078813 | Advanced Eye Care, Inc. | Technician/Technologist | 7013d Manchester Blvd, Alexandria, VA 22310-3201 | 2009-03-27 |
| 1306981956 | David John Schneiderhan | Technician/Technologist | 610 30th Ave W Ste 200, Alexandria, MN 56308-3426 | 2007-02-21 |
| 1275695637 | Osman Y. Sheikh | Technician/Technologist | 6399 Little River Tpke Ste 203, Alexandria, VA 22312-5093 | 2006-12-14 |
| 1588738132 | Randy's Family Optical, Inc. | Technician/Technologist | 2306 S Broadway St, Alexandria, MN 56308-3459 | 2006-11-17 |
| 1396136727 | Meron Taressa | Technician/Technologist | 50 S Pickett St, Suite #29, Alexandria, VA 22304-7207 | 2015-02-06 |
| 1548603780 | Robert Lynn Hanson Jr. | Technician/Technologist | 1915 Gus Kaplan Dr, Alexandria, LA 71301-3355 | 2013-04-08 |
| 1861634040 | Advanced Eye Care Inc | Technician/Technologist | 8101 Hinson Farm Rd, Suite 103, Alexandria, VA 22306-3403 | 2009-04-02 |
| 1053588756 | Daryl Scott Bauer | Technician/Technologist | 4680 King St, Alexandria, VA 22302-1215 | 2008-05-12 |
| 1851568562 | Ronald S Bauer | Technician/Technologist | 4680 King St, Alexandria, VA 22302-1215 | 2008-05-12 |
| 1033268347 | Niyadell, Inc | Technician/Technologist | 4660 Kenmore Ave, Suite 101, Alexandria, VA 22304-1306 | 2007-01-09 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST, LP.
| 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.