WAL-MART STORES EAST LP (NPI# 1316210057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316210057 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | VISION CENTER 30-2560 |
| Practice Address |
11416 Ocean Gtwy Berlin MD 21811-2549 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4106290502 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | LISA FROMM (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-2560 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
11416 OCEAN GTWY |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831116110 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 11416 Ocean Gtwy, Berlin, MD 21811-2549 | 2006-07-16 |
| 1972103356 | Jason Smith | Pharmacist | 11416 Ocean Gtwy, Berlin, MD 21811-2549 | 2020-10-27 |
| 1043798796 | Katelyn Hitch | Pharmacist | 11416 Ocean Gtwy, Berlin, MD 21811-2549 | 2018-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801144456 | Ratchford Eye Center LLC | Eyewear Supplier (Equipment, not the service) | 1166 Farmington Avenue, Berlin, CT 06037-2302 | 2012-08-29 |
| 1104969088 | Eyeglass City Corp | Eyewear Supplier (Equipment, not the service) | 41 Clementon Rd, Store 328, Berlin, NJ 08009-1300 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565613 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 44950 Worth Ave, California, MD 20619-2418 | 2020-10-12 |
| 1336747575 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1781 Ritchie Station Ct, Capitol Heights, MD 20743-5064 | 2020-10-10 |
| 1336756238 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16520 Ballpark Rd, Bowie, MD 20716-3684 | 2020-09-25 |
| 1518573682 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 8139 Gov Ritchie Hwy, Pasadena, MD 21122-6919 | 2020-09-23 |
| 1720608573 | Optilens Vision Center | Eyewear Supplier (Equipment, not the service) | 1490 W Patapsco Ave Ste E, Baltimore, MD 21230-3400 | 2020-04-22 |
| 1366085888 | Azar Eye Optical, LLC | Eyewear Supplier (Equipment, not the service) | 31519 Winterplace Pkwy Ste 2, Salisbury, MD 21804-1894 | 2019-10-28 |
| 1295387298 | Dasod Eye Care LLC | Eyewear Supplier (Equipment, not the service) | 26772 Point Lookout Rd, Leonardtown, MD 20650-4905 | 2019-07-10 |
| 1962061523 | Bradley Sultan | Eyewear Supplier (Equipment, not the service) | 9315 Morning Walk Dr, Hagerstown, MD 21740-1485 | 2019-06-07 |
| 1447816293 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7141 Arlington Rd Ste W1, Bethesda, MD 20814-2908 | 2019-05-17 |
| 1235610346 | For Eyes Optical Inc | Eyewear Supplier (Equipment, not the service) | 10010 Reisterstown Rd, Owings Mills, MD 21117-4158 | 2018-08-27 |
| Find all providers with the same taxonomy | ||||
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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.