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).
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 |
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 30-2862 | 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 |
Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
Street Address |
4051 E FAIRVIEW AVE |
City | MERIDIAN |
State | ID |
Zip Code | 83642-5801 |
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 |
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 |
Find all providers in zip 83642 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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 |
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 |
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.