WAL-MART STORES EAST, LP (NPI# 1295813426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295813426 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-0903 |
Practice Address |
2711 Greenway Dr Jackson MS 39204-3304 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 6019223406 |
Enumeration Date | 2006-11-02 |
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 30-0903 | 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 |
2711 GREENWAY DR |
City | JACKSON |
State | MS |
Zip Code | 39204-3304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174540595 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2711 Greenway Dr, Jackson, MS 39204-3304 | 2006-07-16 |
1851992408 | Nicholas A. Barham | Pharmacist | 2711 Greenway Dr, Jackson, MS 39204-3304 | 2020-11-02 |
1366042459 | Jason Frith | Pharmacist | 2711 Greenway Dr, Jackson, MS 39204-3304 | 2020-10-28 |
1326438706 | Channing Wells | Optometrist | 2711 Greenway Dr, Suite A, Jackson, MS 39204-3304 | 2015-01-23 |
1235553322 | Mississippi Vision Center | Optometrist | 2711 Greenway Dr, Ste A, Jackson, MS 39204-3304 | 2014-02-10 |
1134419559 | Findley Vision, Inc | Optometrist | 2711 Greenway Dr, Jackson, MS 39204-3304 | 2011-04-19 |
1790998110 | Checkups - Ms LLC | Nurse Practitioner | 2711 Greenway Dr, Jackson, MS 39204-3304 | 2007-05-08 |
1134261282 | Allen Dixon Findley | Optometrist | 2711 Greenway Dr, Suite A, Jackson, MS 39204-3304 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
Find all providers in zip 39204 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245692110 | National Vision, Inc. | Technician/Technologist | 119a Stonebrook Pl, Jackson, TN 38305-3636 | 2016-03-22 |
1366710113 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1121 Boardman Road, Jackson, MI 49202-1901 | 2011-12-08 |
1427337492 | Clear View Vision Care | Technician/Technologist | 4612 Medgar Evers Blvd ., Suite 9, Jackson, MS 39213 | 2011-08-09 |
1528236973 | Patricia Hammons | Technician/Technologist | 661 Duling Ave, Jackson, MS 39216-4008 | 2008-02-19 |
1871799353 | Christopher Joels Brogan | Technician/Technologist | 3333 E. Michigan Ave., Suite 3, Jackson, MI 49202 | 2007-06-22 |
1154530681 | Glynn E. Jones Sr. | Technician/Technologist | 4531 Highway 80 W, Jackson, MS 39209-4806 | 2007-05-22 |
1033299417 | Sam's Club Optical | Technician/Technologist | 6360 Ridgewood Court Dr, Jackson, MS 39211-1800 | 2006-10-17 |
1669790911 | Kenneth John Kane | Technician/Technologist | 762 W Michigan Ave, Suite D, Jackson, MI 49201-1978 | 2010-05-12 |
1922283852 | Contact Care Optical | Technician/Technologist | 4531 Highway 80 W, Jackson, MS 39209-4806 | 2008-01-09 |
1316020050 | Wal-mart Stores East, Lp | Technician/Technologist | 2196 Emporium Dr, Jackson, TN 38305-6004 | 2006-10-24 |
Find all providers in JACKSON |
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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.