WAL-MART STORES, INC


Address: 4051 E Fairview Ave, Meridian, ID 83642-5801
Phone: 2083737908

WAL-MART STORES, INC (NPI# 1356431514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356431514
Entity Type Organization
Organization Name WAL-MART STORES, INC
Other Organization Name VISION CENTER 30-2862
Practice Address 4051 E Fairview Ave
Meridian
ID 83642-5801
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0235
Practice Telephone 2083737908
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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Vision Center 30-2862 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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
Massachusetts Corporations WAL-MART STORES, INC. 702 Sw 8th Street, Bentonville, AR 72716

Office Location

Street Address 4051 E FAIRVIEW AVE
City MERIDIAN
State ID
Zip Code 83642-5801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619994969 Walmart Inc. Durable Medical Equipment & Medical Supplies 4051 E Fairview Ave, Meridian, ID 83642-5801 2006-07-16
1588073035 Kristina Jonas Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-08-08
1073921409 Jill Marie Good Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-07-29
1477961969 Devin Nelson Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-07-28
1376951970 Todd Kerr Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-07-27
1518377704 Crawford Eye Care, LLC Optometrist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-04-28
1912159823 Brandon Bennett Crawford Optometrist 4051 E Fairview Ave, Meridian, ID 83642 2008-10-22
1841397940 Kevin Bernard Mcsweeney Optometrist 4051 E Fairview Ave, Meridian, ID 83642-5801 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548385602 Grayson Optical Inc. Technician/Technologist 2021 24th Ave., Meridian, MS 39301 2007-03-20
1043363856 Nancy Ellis Technician/Technologist Ellis Optical Shoppe, 2302 12th St., Meridian, MS 39301-2634 2007-01-18
1831567353 Wal-mart Stores, Inc. Technician/Technologist 5001 N Ten Mile Rd, Meridian, ID 83646-6515 2015-09-15
1972941557 Wal-mart Stores, Inc. Technician/Technologist 795 W Overland Rd, Meridian, ID 83642 2013-06-05
1093056939 Sam's East, Inc. Technician/Technologist 715 Bonita Dr, Meridian, MS 39301-4603 2013-03-01
1578638797 Dearlens, Inc. II Technician/Technologist 910 23rd Ave, Meridian, MS 39301-5017 2006-11-22
1437232550 Wal-mart Stores East, Lp Technician/Technologist 1733 2nd St S, Meridian, MS 39301-4514 2006-10-23
1184677759 Shopko Stores Operating Co. LLC Technician/Technologist 3499 E Fairview Ave, Meridian, ID 83642-5848 2006-05-18

Providers in the same taxonomy and state

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
1801271168 National Vision, Inc. Technician/Technologist 16439 N Market Place Blvd, Nampa, ID 83687-5018 2015-07-28
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
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Competitor

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City MERIDIAN
Zip Code 83642

Improve Information

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Dataset Information

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.

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