WAL-MART STORES, INC (NPI# 1326128489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326128489 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-2781 |
| Practice Address |
2100 12th Ave Rd Nampa ID 83686-6441 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2084675047 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (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 30-2781 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| 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 |
| Street Address |
2100 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083631337 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-07-16 |
| 1104315225 | Grayson Norman Schenk | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2018-05-03 |
| 1326582446 | Infinite Vision Pllc | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2016-12-08 |
| 1396120234 | Paul M Brewer | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2015-07-21 |
| 1326457276 | Regina Stevenson | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-05 |
| 1700295821 | Spencer Dalling | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-04 |
| 1043629082 | Dennis Tofteland | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-04 |
| 1942316054 | Alan Richard Smith | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801271168 | National Vision, Inc. | Technician/Technologist | 16439 N Market Place Blvd, Nampa, ID 83687-5018 | 2015-07-28 |
| 1053495044 | Sam's Club Optical | Technician/Technologist | 5725 E. Franklin Rd, Nampa, ID 83687 | 2006-10-25 |
| 1942309422 | Wal-mart Stores, Inc. | Technician/Technologist | 5875 E. Franklin Rd, Nampa, ID 83687 | 2006-09-21 |
| 1164475752 | Shopko Stores Operating Co. LLC | Technician/Technologist | 2100 Caldwell Blvd, Nampa, ID 83651-1510 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699126656 | Scott J Mccurdy | Technician/Technologist | 110 E 1st N, #2, Rexburg, ID 83440-1614 | 2016-06-30 |
| 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 |
| 1427467208 | Mathew Petersen | Technician/Technologist | 409 S 8th St, Boise, ID 83702-7142 | 2014-08-06 |
| 1588918676 | Sue Soroor Didehban | Technician/Technologist | 7447 W Emerald St Ste 105, Boise, ID 83704-5003 | 2012-10-29 |
| 1629368725 | Rexford Capital Partners, Inc | Technician/Technologist | 649 Sun Valley Road, Ketchum, ID 83340 | 2011-04-11 |
| 1992001663 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1239 Poleline Rd E Ste 312c, Twin Falls, ID 83301-3469 | 2011-01-28 |
| 1750696951 | Wal-mart Stores Inc | Technician/Technologist | 402 W Honeysuckle Ave, Hayden, ID 83835 | 2010-08-11 |
| 1316278153 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1776 Hurley Dr, Pocatello, ID 83202-1909 | 2010-01-19 |
| 1508197336 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3500 N Government Way Ste 102, Coeur D Alene, ID 83815-5281 | 2010-01-19 |
| 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.