WAL-MART STORES EAST, LP (NPI# 1457432593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457432593 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2904 |
| Practice Address |
700 Oak St Brockton MA 02301-1105 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 5085842333 |
| Enumeration Date | 2006-10-17 |
| 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 30-2904 | 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 |
700 OAK ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780883 | Michael Joseph Barbone | Pharmacist | 700 Oak St, Brockton, MA 02301-1105 | 2020-11-05 |
| 1144820259 | Jerome W Salwierz | Pharmacist | 700 Oak St, Brockton, MA 02301-1105 | 2020-10-28 |
| 1164588497 | Richard M Lubas | Optometrist | 700 Oak St, Brockton, MA 02301-1105 | 2006-12-29 |
| 1568489870 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 700 Oak St, Brockton, MA 02301-1105 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407060361 | Timothy M Foote | Technician/Technologist | 727 Belmont Street, Brockton, MA 02301-5666 | 2007-05-10 |
| 1619473725 | Patricia L Ramanauskas | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2018-04-05 |
| 1992248322 | Pamela Carroll | Technician/Technologist | 516 Westgate Dr, Brockton, MA 02301-1816 | 2016-12-03 |
| 1659543882 | Boucher's Opticians of Brockton, Inc. | Technician/Technologist | 727 Belmont Street, Brockton, MA 02301-5666 | 2008-03-27 |
| 1972782506 | David N Horner | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2007-10-31 |
| 1679639926 | Robert L King | Technician/Technologist | 495 Westgate Dr, Suite 1, Brockton, MA 02301-1833 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1609491331 | David Miller | Technician/Technologist | 10 Merrimack St, Lowell, MA 01852-1722 | 2020-06-09 |
| 1538718796 | Lauren Downey | Technician/Technologist | 40 Industrial Park Rd # 202, Plymouth, MA 02360-4884 | 2019-09-10 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
| 1144720301 | See South End Inc | Technician/Technologist | 681 Tremont St Unit 1, Boston, MA 02118-1281 | 2018-02-14 |
| 1528570702 | Michael Josef Leduc | Technician/Technologist | 73 Home St Apt 1, Fall River, MA 02720-5315 | 2017-10-28 |
| 1235649955 | Nickolas Linna | Technician/Technologist | 120 East St, Ludlow, MA 01056-3409 | 2017-10-08 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| 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.