WAL-MART STORES EAST, LP (NPI# 1255440053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255440053 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2859 |
| Practice Address |
2150 Chili Ave Rochester NY 14624-3426 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 5854299640 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY J BOYD (CONTRACT COORDINATOR) |
| Authorized Official Telephone | 4792771359 |
| 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 30-2859 | 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 |
2150 CHILI AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003874488 | Sidney Saul Markus | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3426 | 2006-05-03 |
| 1225502388 | Lauren Burke | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2019-01-11 |
| 1295241024 | Corey Michael Coddington | Technician/Technologist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2017-12-15 |
| 1437526480 | Curtis Bolton | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2015-08-25 |
| 1902211006 | Christian Volk | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2014-06-26 |
| 1144508011 | Alexander Manou | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2011-07-26 |
| 1396068474 | Tami Deborah Meretsky | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2010-03-03 |
| 1528214210 | Kristin Hill Campbell | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2008-08-13 |
| 1679762231 | Catherine Irene Winter | Pharmacist | 2150 Chili Ave, Rochester, NY 14624-3453 | 2007-10-19 |
| 1881611952 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2150 Chili Ave, Rochester, NY 14624-3453 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990594 | Jolene Lynette Summa | Technician/Technologist | 3333 W Henrietta Rd Ste 31, Rochester, NY 14623-3543 | 2019-06-11 |
| 1457868176 | Patrick Merrill Call | Technician/Technologist | 39 Manordale Ln, Rochester, NY 14623-3011 | 2018-01-03 |
| 1699212878 | Janet Louise Pecorella | Technician/Technologist | 1295 Porland Ave., Suite #1, Rochester, NY 14621-2731 | 2017-01-25 |
| 1952704652 | Ashley Diane Scarpulla | Technician/Technologist | 82 Holyoke St, Rochester, NY 14615-2014 | 2014-10-08 |
| 1679917348 | Alan Steven Rifkin | Technician/Technologist | 6 Towpath Trl, Rochester, NY 14624-4552 | 2013-04-24 |
| 1467790972 | Lorraine Ann Hussain | Technician/Technologist | 919 Westfall Rd Bldg B, Rochester, NY 14618-2638 | 2013-01-18 |
| 1881861003 | Elviro Egisto Larocca | Technician/Technologist | 379 Park Ave, Rochester, NY 14607-2807 | 2008-05-15 |
| 1811162233 | Paul A Paradowski | Technician/Technologist | 111 Westmar Dr, Rochester, NY 14624-2537 | 2008-04-27 |
| 1053591719 | M Bell Price | Technician/Technologist | 131 Drake Dr, Rochester, NY 14617-4307 | 2007-11-11 |
| 1780708867 | Michael Zachary Rich | Technician/Technologist | 3340 Monroe Ave, Rochester, NY 14618-4612 | 2007-03-16 |
| Find all providers in ROCHESTER | ||||
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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.