WAL-MART STORES, INC. (NPI# 1235212796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235212796 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-1535 |
| Practice Address |
3209 S Louise Ave Sioux Falls SD 57106-0704 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6053621002 |
| Enumeration Date | 2006-10-20 |
| 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 30-1535 | 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 |
| Street Address |
3209 S LOUISE AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57106-0704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205853470 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2006-07-16 |
| 1720688823 | Andrew Hemmer | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2020-10-28 |
| 1225638521 | Crystal Kezar | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0705 | 2020-10-27 |
| 1760082275 | Hillary Dodson | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2020-10-26 |
| 1720608615 | Tracey Layne Krause | Pharmacy Technician | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2020-04-21 |
| 1366950263 | Tyler Joseph Aldren | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2018-01-14 |
| 1750539151 | North Central Eye, Inc. | Clinic/Center | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2008-08-28 |
| 1366605859 | Joshua David Tims | Optometrist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2008-07-06 |
| 1952485328 | Jeff Daniel Derouchey | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279675 | Complete Medical Supply | Durable Medical Equipment & Medical Supplies | 5107 W. 41st Street, Suite 4, Sioux Falls, SD 57106 | 2020-06-12 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1033750005 | Joel Holzapfel | Physical Therapist | 2571 Sw Lake Drive, Suite 200, Sioux Falls, SD 57106 | 2019-10-01 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1285068346 | Aimee M Moulton | Pharmacist | 5105 S. Crossings Place Ste #4, Sioux Falls, SD 57106 | 2013-08-26 |
| 1740526870 | Frank O. Main Jr. | Marriage & Family Therapist | 4300 Louise Avenue #201, Stronghold Counseling Services, Sioux Falls, SD 57106 | 2012-12-18 |
| 1801107222 | Bridget Jean Lervick | Dentist | 5121 S. Solberg Ave., Suite 120, Sioux Falls, SD 57106 | 2010-06-30 |
| 1083855217 | Megan Jean Woodraska | Dietitian, Registered | 1900 S. Marion Rd., Sioux Falls, SD 57106 | 2009-03-18 |
| 1427216373 | Carol Marie Rowe | Occupational Therapist | 26650 Wayne Avenue, Sioux Falls, SD 57106 | 2008-05-28 |
| Find all providers in zip 57106 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1063769388 | Amj Enterprises | Technician/Technologist | 4426 S Technology Dr, Suite E, Sioux Falls, SD 57106-4203 | 2012-08-06 |
| 1376902510 | Wal-mart Stores, Inc. | Technician/Technologist | 7821 S Minnesota Ave, Sioux Falls, SD 57108 | 2016-02-16 |
| 1124109194 | Wal-mart Stores, Inc. | Technician/Technologist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-18 |
| 1639250038 | Sam's Club Optical | Technician/Technologist | 3201 S Louise Ave, Sioux Falls, SD 57106-0704 | 2006-10-18 |
| 1710919741 | Sanford Clinic | Technician/Technologist | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164911400 | J & J Optical | Technician/Technologist | 2120 Lazelle St, Sturgis, SD 57785-1316 | 2018-05-02 |
| 1700136041 | W-j Optical | Technician/Technologist | 2101 Broadway Ave, Yankton, SD 57078-1607 | 2012-09-13 |
| 1205184249 | Wal-mart Stores Inc | Technician/Technologist | 100 E Stumer Rd, Rapid City, SD 57701-6417 | 2012-08-23 |
| 1437415148 | Carla J Mcgregor | Technician/Technologist | 916 9th Ave Se, Watertown, SD 57201-5224 | 2012-04-06 |
| 1194029041 | Sams West Inc | Technician/Technologist | 1020 N Lacrosse St, Rapid City, SD 57701 | 2011-01-07 |
| 1043482300 | Kathryn A Thomas | Technician/Technologist | 211 E Havens Ave, Mitchell, SD 57301-4402 | 2008-03-27 |
| 1841324027 | Donald George Woeltge | Technician/Technologist | 2118 N Maple Ave, Rapid City, SD 57701-7813 | 2007-03-16 |
| 1518035187 | Jubal S Pillen | Technician/Technologist | 1020 Junction Ave, Sturgis, SD 57785-1632 | 2006-12-01 |
| 1376611160 | Gary Pillen | Technician/Technologist | 501 Kansas City St, Rapid City, SD 57701-3673 | 2006-12-01 |
| 1063588374 | The Optical Shop Inc. | Technician/Technologist | 112 22nd Ave S, Brookings, SD 57006-2600 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57106 |
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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.