WAL-MART STORES, INC. (NPI# 1225118938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225118938 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-3492 |
| Practice Address |
11411 E Kellogg Dr Wichita KS 67207-1928 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3166830735 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-3492 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| 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 |
11411 E KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67207-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821015249 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 11411 E Kellogg Dr, Wichita, KS 67207-1928 | 2006-07-16 |
| 1528607553 | Tonya Mcclain | Pharmacist | 11411 E Kellogg Dr, Wichita, KS 67207-1928 | 2019-12-20 |
| 1588126619 | Lon Marshal Hosey Jr. | Pharmacist | 11411 E Kellogg Dr, Wichita, KS 67207-1928 | 2019-04-06 |
| 1235500315 | Hiep Nguyen | Pharmacist | 11411 E Kellogg Dr, Wichita, KS 67207-1928 | 2015-10-14 |
| 1992174809 | Azam Ghanadian | Pharmacist | 11411 E Kellogg Dr, Wichita, KS 67207-1928 | 2015-09-21 |
| 1881093540 | Johnny Tam Nguyen | Pharmacist | 11411 E Kellogg Dr, Wichita, KS 67207-1928 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527518 | Transition Adult Home | Day Training, Developmentally Disabled Services | 7422 E Lincoln St, Wichita, KS 67207 | 2018-05-02 |
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1245623677 | Costco Wholesale Corporation | Pharmacy | 9700 E. Kellogg, Wichita, KS 67207 | 2015-03-10 |
| 1528468105 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 | 2014-09-02 |
| 1962819110 | Lauren Carrillo | Marriage & Family Therapist | 111 S Whittier St Ste 1500, Wichita, KS 67207 | 2014-07-21 |
| 1962827170 | Providence Home Health & Hospice LLC. | Home Health | 9415 E Harry St Ste 703, Wichita, KS 67207 | 2014-02-25 |
| 1396089892 | Christina Rhinesmith | Speech-Language Pathologist | 12618 E Willowgreen Circle, Wichita, KS 67207 | 2012-11-21 |
| 1528360047 | Compassionate Care Home Health Agency | Home Health | 9152 Funston Ct., Wichita, KS 67207 | 2010-12-04 |
| 1477769503 | Patricia Marie Sloop | Social Worker | 1950 S. Webb Rd., Unit #121, Wichita, KS 67207 | 2007-05-15 |
| 1174738298 | Jarrod S Steffan | Psychologist | 9920 East Harry, Wichita, KS 67207 | 2007-05-11 |
| Find all providers in zip 67207 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215385026 | Matthew King | Technician/Technologist | 7223 E Chelsea St, Wichita, KS 67206-1042 | 2016-06-02 |
| 1629425731 | Marcia Renee Little | Technician/Technologist | 942 S Oliver St, Wichita, KS 67218-3216 | 2016-05-18 |
| 1083884647 | Ryan Jay Storey | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2008-03-10 |
| 1477605780 | Michael Glenn Melton | Technician/Technologist | 1016 W 29th St S, Wichita, KS 67217-3114 | 2007-01-17 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1346321973 | The Spectacle Shoppe, Inc. | Technician/Technologist | 306 N Rock Rd, Ste 10, Wichita, KS 67206-2256 | 2006-10-18 |
| 1679917595 | Martin Verl Pickering | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2013-04-22 |
| 1023249513 | Jacob T Reese | Technician/Technologist | 610 N Main St, Wichita, KS 67203-3601 | 2009-07-31 |
| 1275762940 | Sapphire Marie Garcia | Technician/Technologist | 245 N Hillside St, Wichita, KS 67214-4903 | 2009-07-02 |
| 1285719872 | Wal-mart Stores, Inc. | Technician/Technologist | 10600 W 21st St N, Wichita, KS 67205-1886 | 2006-10-25 |
| Find all providers in WICHITA | ||||
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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.