WAL-MART STORES, INC. (NPI# 1285828632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285828632 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | VISION CENTER 30-4521 |
| Practice Address |
1780 S Lake Dr Lexington SC 29073 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 8039571839 |
| Mailing Telephone | 4792771175 |
| Mailing Fax Number | 4792778174 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MISS SABRINA NICOLE SUTTON (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792771175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-4521 | 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 |
1780 S LAKE DR |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679679575 | David B Pratt | Optometrist | 1780 S Lake Dr, Lexington, SC 29073-8102 | 2006-09-16 |
| 1316368244 | James Ashley Driggers | Pharmacist | 1780 S Lake Dr, Lexington, SC 29073-8102 | 2013-12-19 |
| 1508287582 | Kathleen Prewitt | Pharmacist | 1780 S Lake Dr, Lexington, SC 29073-8102 | 2013-12-18 |
| 1558533299 | Bright Sight Eyecare Inc | Optometrist | 1780 S Lake Dr, Lexington, SC 29073-8102 | 2008-04-01 |
| 1366642209 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1780 S Lake Dr, Lexington, SC 29073-8102 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464953 | Alexandra Maria Schutz | Dentist | 5443 Platt Springs Rd, Lexington, SC 29073 | 2018-07-20 |
| 1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
| 1457712143 | Bela Family Dentistry of White Knoll | Dentist | 1915 Southlake Dr., Lexington, SC 29073 | 2016-03-09 |
| 1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
| 1821419102 | Megan Gadson | Counselor | 1068 South Lake Dr., Lexington, SC 29073 | 2014-01-03 |
| 1780937789 | Craig Elliott Pfeifer | Specialist/Technologist | 755 Colina Ct, Lexington, SC 29073 | 2012-10-16 |
| 1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
| 1831471119 | Adam Dutton Redmond | Military Health Care Provider | 4346 Augusta Road, Lexington, CA 29073 | 2011-09-13 |
| 1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
| 1073748687 | Jacqueline Abrams | Behavioral Analyst | 460 Pin Oak Dr, Lexington, SC 29073 | 2009-05-27 |
| Find all providers in zip 29073 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
| 1720276454 | Kenneth R Hayden | Technician/Technologist | 740 South Limeston, Lexington, KY 40536-0001 | 2007-10-09 |
| 1326241506 | Kentucky Medical Services Foundation | Technician/Technologist | 740 S Limeston, Lexington, KY 40536-0001 | 2007-06-06 |
| 1881710713 | Richardson Vision Center | Technician/Technologist | 1757 Alexandria Dr, Lexington, KY 40504-3111 | 2007-03-22 |
| 1801939863 | M.d. Optique, Inc | Technician/Technologist | 3801 Mall Road, Suite 115, Lexington, KY 40503 | 2007-02-15 |
| 1255495107 | Wal-mart Stores East, Lp | Technician/Technologist | 2350 Grey Lag Way Rd., Lexington, KY 40509 | 2006-12-21 |
| 1487737318 | Wal-mart Stores East, Lp | Technician/Technologist | 37 Plaza Pkwy, Lexington, NC 27292-5359 | 2006-10-23 |
| 1902987886 | Wallace Williams | Technician/Technologist | 153 Patchen Dr, Ste 1, Lexington, KY 40517-4420 | 2006-10-18 |
| 1003908849 | Peck Opticians Inc | Technician/Technologist | 370 Longview Drive, Lexington, KY 40503-1817 | 2006-09-29 |
| 1194834713 | Professional Opticians Psc | Technician/Technologist | 165 Moore Dr, Lexington, KY 40503 | 2006-08-29 |
| Find all providers in LEXINGTON | ||||
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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.