WALMART STORES, INC (NPI# 1225124563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225124563 |
| Entity Type | Organization |
| Organization Name | WALMART STORES, INC |
| Other Organization Name | VISION CENTER 30-2147 |
| Practice Address |
4000 Us Highway 93 S Missoula MT 59804 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 4062516060 |
| Enumeration Date | 2006-10-05 |
| 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 30-2147 | Doing Business As Name - Organization |
| Street Address |
4000 US HIGHWAY 93 S |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855044 | Dr Brott & Associates Od PC | Optometrist | 4000 Us Highway 93 S, Missoula, MT 59804-7347 | 2006-03-17 |
| 1144482548 | Heidi Gail Brott | Optometrist | 4000 Us Highway 93 S, Missoula, MT 59804-7347 | 2008-06-26 |
| 1497702989 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Us Highway 93 S, Missoula, MT 59804-7347 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513896 | Shoptikal LLC | Technician/Technologist | 3075 N Reserve St Ste F, Missoula, MT 59808-1390 | 2019-05-11 |
| 1962901355 | Melita Lynnette Schaefer | Technician/Technologist | 2910 S Reserve St Ste B, Missoula, MT 59801-7677 | 2018-02-12 |
| 1811374614 | Christy Wickund | Technician/Technologist | 601 W Spruce St Ste E, Missoula, MT 59802-4047 | 2015-04-30 |
| 1356588131 | Ronald Jay Bishop Jr. | Technician/Technologist | 3810 S 7th St W, Missoula, MT 59804-1916 | 2009-01-15 |
| 1437505708 | Aurora Needles | Technician/Technologist | 700 West Kent, Missoula, MT 59801-5719 | 2016-05-05 |
| 1780047399 | Connie Ployhar | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2016-03-31 |
| 1720456924 | Honeyrae King-campbell | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1871961078 | Jen Jones | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1144609421 | Mary Shull | Technician/Technologist | 111 N Higgins Ave, Suite 107, Missoula, MT 59802-4437 | 2015-05-20 |
| 1760814404 | Wade A Everett | Technician/Technologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2013-08-05 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on WALMART STORES, INC.
| 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.