WAL-MART STORES EAST LP (NPI# 1215237946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215237946 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | VISION CENTER 30-1301 |
| Practice Address |
5350 Clearbrook Village Lane Roanoke VA 24019 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0445 |
| Practice Telephone | 5407741325 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| 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 |
|---|---|
| Vision Center 30-1301 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
5350 CLEARBROOK VILLAGE LANE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982187 | Roger Eugene Mumpower | Pharmacist | 5350 Clearbrook Village Lane, Pharmacy, Roanoke, VA 24014 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| 1417050931 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2633 Peters Creek Rd Nw, Roanoke, VA 24019 | 2006-09-07 |
| Find all providers in zip 24019 | ||||
| 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 |
|---|---|---|---|---|
| 1326538224 | Vistar Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 1819 Electric Rd Ste 1a, Roanoke, VA 24018-1618 | 2018-05-16 |
| 1174854616 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 4812 Valley View Mall, Roanoke, VA 24019-7004 | 2010-01-22 |
| 1063689834 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 33 British Woods Dr, 1960 Electric Road, Roanoke, VA 24019-8267 | 2008-05-12 |
| 1174717722 | Merricks Optical Inc | Eyewear Supplier (Equipment, not the service) | 3405 Brambleton Avenue, Roanoke, VA 24018-6519 | 2007-08-28 |
| 1275735870 | Eye Designs Optical | Eyewear Supplier (Equipment, not the service) | 1227 Maple Ave Sw, Roanoke, VA 24016-4707 | 2007-06-05 |
| 1669680799 | Southeastern Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 6490 Commonwealth Dr, Roanoke, VA 24018-5159 | 2007-05-21 |
| 1700931102 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4822 Valley View Blvd Nw Ste C, Roanoke, VA 24012-2046 | 2007-01-24 |
| 1629132725 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4750 Valley View Blvd Nw Ste 40, Roanoke, VA 24012-2026 | 2006-12-21 |
| 1376617704 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4812 Valley View Blvd Nw, Roanoke, VA 24012-2018 | 2006-11-18 |
| 1952472268 | Pearle Vision Inc. | Eyewear Supplier (Equipment, not the service) | 4385 Electric Rd, Roanoke, VA 24018-0721 | 2006-11-10 |
| Find all providers in ROANOKE | ||||
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.