WAL-MART STORES EAST, LP (NPI# 1326419946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326419946 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-0313 |
| Practice Address |
2700 Ridge Point Dr High Ridge MO 63049-2201 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6362535021 |
| Practice Fax Number | 6363763835 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4972774331 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE AND ENROLLMENT) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Walmart Vision Center 30-0313 | 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 |
2700 RIDGE POINT DR |
| City | HIGH RIDGE |
| State | MO |
| Zip Code | 63049-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124045471 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2700 Ridge Point Dr, High Ridge, MO 63049-2201 | 2006-07-16 |
| 1720689896 | Daniel Holtkamp | Pharmacist | 2700 Ridge Point Dr, High Ridge, MO 63049-2201 | 2020-11-05 |
| 1013518133 | Julie Duncan | Pharmacist | 2700 Ridge Point Dr, High Ridge, MO 63049-2201 | 2020-11-04 |
| 1215538525 | Brian Charles Longo | Pharmacist | 2700 Ridge Point Dr, High Ridge, MO 63049-2201 | 2020-11-03 |
| 1316547110 | Michael Scott Rohman | Pharmacist | 2700 Ridge Point Dr, High Ridge, MO 63049-2201 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366084766 | Danielle Hawkins | Registered Nurse | 324 Emerson, High Ridge, MO 63049 | 2019-10-17 |
| 1326320672 | Martin Kevin Eresh | Dentist | 1412-a Old Gravois Rd, High Ridge, MO 63049 | 2011-09-13 |
| 1013247048 | Casey Michelle Stoff | Speech-Language Pathologist | 2901 High Ridge Blvd, High Ridge, MO 63049 | 2010-01-14 |
| 1912123050 | Frederick H. Fischer, D.d.s., P.C. | Dentist | 2817 High Ridge Blvd., High Ridge, MO 63049 | 2007-04-17 |
| 1215099072 | Thomas Gerard Monti | Chiropractor | 1600 Gravois, High Ridge, MO 63049 | 2006-12-15 |
| 1578106548 | Melinda Williams | Licensed Practical Nurse | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-23 |
| 1699318667 | Kimberly Molina | Case Manager/Care Coordinator | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-23 |
| 1285276949 | Katie Marshall | Case Manager/Care Coordinator | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-15 |
| 1306322193 | Dylan Anthony Biondo | Pharmacist | 20 Dillon Plaza Dr, High Ridge, MO 63049 | 2018-07-14 |
| 1780955732 | Jena Marie Hudkins | Social Worker | 324 Emerson Rd, High Ridge, MO 63049 | 2012-01-23 |
| Find all providers in zip 63049 | ||||
| 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 |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
| City | HIGH RIDGE |
| Zip Code | 63049 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST, LP.
| 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.