WAL-MART STORES EAST, LP (NPI# 1376644690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376644690 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0779 |
| Practice Address |
3501 S Florida Ave Lakeland FL 33803-4860 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 8636445676 |
| Enumeration Date | 2006-09-26 |
| 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 30-0779 | 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 |
3501 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346279098 | Vernon A Stapleton Od Pa | Optometrist | 3501 S Florida Ave, Lakeland, FL 33803-4860 | 2006-07-02 |
| 1437750452 | Vikas Vaikunth Desai | Pharmacist | 3501 S Florida Ave, Lakeland, FL 33803-4860 | 2020-11-05 |
| 1639779515 | Simi Rachel Mathew | Pharmacist | 3501 S Florida Ave, Lakeland, FL 33803-4860 | 2020-10-29 |
| 1730588351 | David Montalvo | Pharmacist | 3501 S Florida Ave, Lakeland, FL 33803-4860 | 2014-08-20 |
| 1508072547 | Janis Lena Crosskey | Optometrist | 3501 S Florida Ave, Lakeland, FL 33803-4860 | 2007-05-15 |
| 1235156449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3501 S Florida Ave, Lakeland, FL 33803-4860 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770986523 | America's Best Contacts & Eyeglasses | Technician/Technologist | 919 Lakeland Park Center Dr, Ste 314, Lakeland, FL 33809-3841 | 2014-10-07 |
| 1780021048 | Eyeglass World | Technician/Technologist | 3635 Us Highway 98 N, Lakeland, FL 33809-3808 | 2013-05-28 |
| 1306060777 | Sam's Club Optical | Technician/Technologist | 3530 Lakeland Highlands Rd, Lakeland, FL 33803 | 2007-04-13 |
| 1467553784 | Sam's Club Optical | Technician/Technologist | 4600 Us Highway 98 N, Lakeland, FL 33809-3603 | 2006-09-26 |
| 1255345252 | Usv Optical Inc. | Technician/Technologist | 3800 U.S. 98 North, Lakeland, FL 33809 | 2006-07-28 |
| 1336509207 | Misada Inc | Technician/Technologist | 1371 Town Center Dr, Lakeland, FL 33803-7964 | 2016-03-04 |
| 1801232616 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3615 S Florida Ave, Lakeland, FL 33803-4876 | 2013-05-20 |
| 1215052477 | Fadea Inc | Technician/Technologist | 1371 Town Center Dr, Lakeland, FL 33803-7964 | 2007-03-20 |
| 1043309842 | Wal-mart Stores East, Lp | Technician/Technologist | 5800 Us Highway 98 N, Lakeland, FL 33809-3110 | 2006-10-12 |
| 1619078649 | Mark Joseph Bridges | Technician/Technologist | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2006-09-25 |
| Find all providers in LAKELAND | ||||
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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.