WAL-MART STORSES EAST, LP (NPI# 1356424881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356424881 |
Entity Type | Organization |
Organization Name | WAL-MART STORSES EAST, LP |
Other Organization Name | VISION CENTER 30-2909 |
Practice Address |
961 Route 6 Corry PA 16407 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 8146638070 |
Enumeration Date | 2006-10-20 |
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 30-2909 | Doing Business As Name - Organization |
Street Address |
961 ROUTE 6 |
City | CORRY |
State | PA |
Zip Code | 16407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942524855 | John F Hines | Pharmacist | 827 N Center St, Corry, PA 16407 | 2010-03-22 |
1437211307 | Gary Michael Ritten | Obstetrics & Gynecology | 328 York Street, Corry, PA 16407 | 2006-12-15 |
1427144641 | Alan John Vanderweele | Dentist | 335 Worth Street, Corry, PA 16407 | 2006-10-05 |
1063421287 | Charles H Durmis | Surgery | 328 York St, Corry, PA 16407 | 2006-08-05 |
1841268877 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Lane, Corry, PA 16407 | 2006-03-08 |
1164036190 | Thomas William Sloss | Pharmacist | 827 North Center Street, Corry, PA 16407 | 2020-09-08 |
1003330804 | Alison Waltier | Pharmacist | 827 N Center St, Corry, PA 16407 | 2017-08-02 |
1821456013 | Robin Boboshko-kline | Occupational Therapy Assistant | 640 Worth Street, Corry, PA 16407 | 2016-02-03 |
1205159084 | Amy Winchell | Pharmacist | 330 W Columbus Ave, Corry, PA 16407 | 2010-03-08 |
1669693180 | Lisa Hewitt Zarger | Nurse Practitioner | 315 York St, Corry, PA 16407 | 2007-05-01 |
Find all providers in zip 16407 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
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.