WAL-MART STORES, INC. (NPI# 1356726558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356726558 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WALMART VISION CENTER 30-0007 |
| Practice Address |
9053 Highway 107 Sherwood AR 72120-2933 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 4792048705 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE ENROLMENT&CONTTRACT) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| 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 30-0007 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 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 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| 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 |
| Oklahoma Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
9053 HIGHWAY 107 |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972520377 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 9053 Highway 107, Sherwood, AR 72120-2933 | 2006-07-16 |
| 1245831049 | Robiul Mostafa | Pharmacist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2020-11-06 |
| 1467053942 | Hiedi Mason | Pharmacist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2020-11-03 |
| 1720452964 | Craig Rowan Pafford II | Pharmacist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2015-11-27 |
| 1235503558 | Hoang Eye Care, Pllc | Optometrist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2015-11-24 |
| 1801182647 | Virginia Hensley-seamon | Nurse Practitioner | 9053 Highway 107, Sherwood, AR 72120-2933 | 2011-06-20 |
| 1427240951 | Jessica Gaither Vandett | Nurse Practitioner | 9053 Highway 107, The Clinic At Walmart (operated By St. Vincent), Sherwood, AR 72120-2933 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| 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 |
|---|---|---|---|---|
| 1922286319 | George A Haas Od Pa | Eyewear Supplier (Equipment, not the service) | 3004 E Kiehl Ave, Sherwood, AR 72120-3228 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093225633 | Success Vision Express of Conway | Eyewear Supplier (Equipment, not the service) | 1100 S Amity Rd Ste B, Conway, AR 72032-8106 | 2017-10-10 |
| 1356886360 | Success Vision Express of Hot Springs, LLC | Eyewear Supplier (Equipment, not the service) | 4043 Central Ave, Ste A, Hot Springs, AR 71913-7208 | 2016-12-29 |
| 1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
| 1437471588 | Deer Optical | Eyewear Supplier (Equipment, not the service) | 4942 W Markham St, Little Rock, AR 72205-3732 | 2010-02-17 |
| 1548591118 | Camp Eye Care Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 2601 E Race Ave, Suite 3, Searcy, AR 72143-4774 | 2010-01-21 |
| 1912149725 | Calvin F Graham, Inc | Eyewear Supplier (Equipment, not the service) | 1001 Lexington Ave, Fort Smith, AR 72901-4945 | 2009-03-26 |
| 1336300730 | Schroeder Optical | Eyewear Supplier (Equipment, not the service) | 9600 Lile Dr Ste 260, Little Rock, AR 72205-6373 | 2008-06-19 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1144415761 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2600 S Shackleford Road, Jc Penney Optical, Little Rock, AR 72205 | 2007-09-06 |
| 1093905721 | Pharmedic, Inc | Eyewear Supplier (Equipment, not the service) | 4425 Central Ave, Suite A, Hot Springs, AR 71913 | 2007-07-30 |
| 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.