WAL-MART STORES EAST, LP (NPI# 1407200280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407200280 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-0655 |
| Practice Address |
420 Factory Outlet Dr Hanson KY 42413-9514 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2708217177 |
| Practice Fax Number | 2708217202 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792771242 |
| 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 30-0655 | 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 |
420 FACTORY OUTLET DR |
| City | HANSON |
| State | KY |
| Zip Code | 42413-9514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457378879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2006-07-16 |
| 1427658517 | Robin Edward Roach | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-10-28 |
| 1245830660 | Eric Paris | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-10-26 |
| 1366059693 | Rhea Noble | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-09-30 |
| 1770679490 | John Michael Schertzinger | Optometrist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669557286 | Lawrence E Suess | Psychiatry & Neurology | 7805 N Hanson Rd, Hanson, KY 42413 | 2006-10-25 |
| 1134212715 | Karen Joan Lynn | Speech-Language Pathologist | 393 Fate Lutz Rd, Hanson, KY 42413 | 2006-10-02 |
| 1720617285 | Tammy Barre | Nurse Practitioner | 455 N Livingston St, Hanson, KY 42413-2120 | 2020-04-06 |
| 1306475173 | Amy Diane Davis | Nurse Practitioner | 588 Lily Ln, Hanson, KY 42413-8500 | 2020-04-03 |
| 1356569842 | Western Kentucky Veterans Center | Skilled Nursing Facility | 926 Veterans Dr, Hanson, KY 42413-9401 | 2007-04-23 |
| 1063784197 | Commonwealth of Kentucky | Skilled Nursing Facility | 926 Veterans Dr, Hanson, KY 42413-9401 | 2012-02-06 |
| 1124262613 | Sarah Susan Whittington | Nurse Practitioner | 926 Veterans Dr, Hanson, KY 42413-9401 | 2009-04-28 |
| 1164592705 | Robert Cain | Pharmacist | 7455 Hanson Rd, Hanson, KY 42413-9415 | 2006-11-09 |
| 1669766895 | Edward G Frodge | Occupational Therapy Assistant | 7915 Hanson Rd, Hanson, KY 42413-9418 | 2011-06-06 |
| 1255381646 | Hanson Pharmacy and Wellness Center | Durable Medical Equipment & Medical Supplies | 7455 Hanson Rd, Hanson, KY 42413-9481 | 2006-05-10 |
| Find all providers in zip 42413 | ||||
| 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 |
|---|---|---|---|---|
| 1598399727 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7900 Shelbyville Rd Ste B15, Louisville, KY 40222-5461 | 2020-02-26 |
| 1154961167 | Emx Eye Care PC | Eyewear Supplier (Equipment, not the service) | 410 Southtown Blvd Ste 4, Owensboro, KY 42303-7757 | 2020-01-08 |
| 1194215764 | Opticouture LLC | Eyewear Supplier (Equipment, not the service) | 959 Vine Street, Louisville, KY 40204-2071 | 2018-05-18 |
| 1477070654 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 111 Summit At Fritz Farm, Lexington, KY 40517-8300 | 2017-08-28 |
| 1568997112 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3301 Nicholasville Rd, Lexington, KY 40503-3603 | 2017-04-20 |
| 1083160915 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 7727 Mall Rd, Ste. B, Florence, KY 41042-1405 | 2016-08-31 |
| 1649626870 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 2007 S Highway 27, Suite A, Somerset, KY 42501-0000 | 2016-05-06 |
| 1740644947 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 450 Connector Rd, Georgetown, KY 40324-9729 | 2016-04-13 |
| 1477924884 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 4135 Ft Campbell Boulevard, Hopkinsville, KY 42240-8706 | 2015-10-12 |
| 1245621382 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1500 Fitzgerald Ct, Lexington, KY 40509-8307 | 2015-02-11 |
| 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.