WAL-MART EAST, LP (NPI# 1457873416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457873416 |
| Entity Type | Organization |
| Organization Name | WAL-MART EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-7185 |
| Practice Address |
3655 Browns Bridge Rd Cumming GA 30028 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4792772500 |
| Mailing Telephone | 14792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTH CARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| 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 30-7185 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192146 | Wal-mart East, Lp | Eyewear Supplier (Equipment, not the service) | 1601 W Edgar Rd, Linden, NJ 07036-6422 | 2019-09-05 |
| 1720504269 | Wal-mart East, Lp | Eyewear Supplier (Equipment, not the service) | 2855 N. Old Lake Wilson Road, Kissimmee, FL 34747-0000 | 2017-08-16 |
| 1114088770 | Wal-mart East, Lp | Technician/Technologist | 305 Letton Dr., Paris, KY 40361 | 2006-12-13 |
| Street Address |
3655 BROWNS BRIDGE RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1063013993 | Jyoti Sinha | Pharmacist | 3655 Browns Bridge Rd, Cumming, GA 30028-4134 | 2020-11-06 |
| 1427658319 | Keyur Patel | Pharmacist | 3655 Browns Bridge Rd, Cumming, GA 30028-4134 | 2020-10-29 |
| 1588284020 | Angela Lee | Pharmacist | 3655 Browns Bridge Rd, Cumming, GA 30028-4134 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1306131198 | Megin Murphy Ward | Speech-Language Pathologist | 4215 Pheasant Run Trace, Cumming, GA 30028 | 2011-06-09 |
| 1265600654 | Kevin Allen Lowden | Dentist | 755 Mt Vernon Hwy Ne, Suite 440, Atlanta, GA 30028 | 2008-02-19 |
| 1730619222 | Amy Renee Profesorsky | Physical Therapist | 6030 Thrasher Ct, Cumming, GA 30028-2217 | 2017-06-15 |
| 1790395697 | Graciela Osses | Registered Nurse | 1945 Dr Bramblett Rd, Cumming, GA 30028-2852 | 2020-08-05 |
| 1033541735 | Kimberley A Linert, Inc | Optometrist | 525 Tribble Gap Rd, #1305, Cumming, GA 30028-2937 | 2013-08-05 |
| 1891044160 | Tabitha Anne Kephart | Specialist/Technologist, Other | 4485 Hubert Martin Rd, Cumming, GA 30028-3269 | 2012-09-02 |
| 1487073904 | North Georgia Therapy for Kids, LLC | Clinic/Center | 4655 Dahlonega Hwy, Cumming, GA 30028-3304 | 2014-04-11 |
| 1609435593 | Jolanda Catoyia Wilkerson | Counselor | 4625 Sundance Cir, Cumming, GA 30028-3416 | 2019-06-13 |
| 1760669238 | Philip Gerard Tobia | Physical Therapist | 4665 Sundance Cir, Cumming, GA 30028-3416 | 2008-01-28 |
| Find all providers in zip 30028 | ||||
| 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 |
|---|---|---|---|---|
| 1609823624 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1500 Market Place Blvd, Cumming, GA 30041-7926 | 2006-05-27 |
| 1386694164 | Absolute Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 1485 Peachtree Pkwy, D1, Cumming, GA 30041-0500 | 2006-05-11 |
| 1396352639 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1725 Market Place Blvd, Cumming, GA 30041-7928 | 2020-09-30 |
| 1538554472 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1211 Bald Ridge Marina Rd, Cumming, GA 30041-8484 | 2015-03-30 |
| 1669894036 | Mark Lynn O.d. & Associates, PC | Eyewear Supplier (Equipment, not the service) | 1530 Market Place Blvd, Suite D, Cumming, GA 30041-7926 | 2014-01-20 |
| 1033449046 | Complete Family Eyecare and Optique PC | Eyewear Supplier (Equipment, not the service) | 2320 Atlanta Hwy, Suite 103, Cumming, GA 30040-6339 | 2010-01-14 |
| 1649437880 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 410 Peachtree Pkwy Ste 220, Cumming, GA 30041 | 2008-05-16 |
| 1891849279 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1725 Market Place Blvd, Cumming, GA 30041 | 2007-01-22 |
| 1477604247 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1525 Market Place Blvd, Cumming, GA 30041-7935 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021234 | Bianca Horton Holmes | Eyewear Supplier (Equipment, not the service) | 1085 Buckingham Ter, Fairburn, GA 30213-6481 | 2020-10-20 |
| 1649887886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 331 Newnan Crossing Byp, Newnan, GA 30265-1067 | 2020-09-30 |
| 1407461700 | United Vision Plans Inc | Eyewear Supplier (Equipment, not the service) | 669 Longwood Dr Nw, Atlanta, GA 30305-3903 | 2020-09-14 |
| 1518513613 | Hendrix Eye Clinic, LLC | Eyewear Supplier (Equipment, not the service) | 864 Central Ave, Demorest, GA 30535-5534 | 2019-08-14 |
| 1093375503 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 40 Fischer Crossings Dr, Sharpsburg, GA 30277 | 2019-06-17 |
| 1255814893 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 5130 Peachtree Pkwy Ste 630, Peachtree Corners, GA 30092-2525 | 2018-09-10 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1538686894 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 274 Buckhead Ave Ne, Atlanta, GA 30305-2208 | 2017-08-28 |
| 1619494978 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1198 Howell Mill Rd Nw Ste 300, Atlanta, GA 30318-5626 | 2017-08-28 |
| 1508317587 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8000 Mall Pkwy, Lithonia, GA 30038-2542 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAL-MART EAST, LP.
| 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.