WAL-MART STORES EAST, LP (NPI# 1467534594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467534594 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-2278 |
| Practice Address |
1825 Downs Dr Erie PA 16509 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0445 |
| Practice Telephone | 8148648617 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-07-28 |
| Authorized Official Name | DIANNA D PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-2278 | 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 |
1825 DOWNS DR |
| City | ERIE |
| State | PA |
| Zip Code | 16509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487671541 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1825 Downs Dr, Erie, PA 16509-7303 | 2006-07-16 |
| 1407456221 | Alicia Shontz | Pharmacist | 1825 Downs Dr, Erie, PA 16509-7303 | 2020-10-30 |
| 1295890689 | Gary D Hawk | Optometrist | 1825 Downs Dr, Erie, PA 16509-7303 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| 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 |
|---|---|---|---|---|
| 1619496890 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5800 Peach St Uppr Unit800, Erie, PA 16565-5601 | 2017-09-19 |
| 1952574527 | Leonardi Group, Inc | Eyewear Supplier (Equipment, not the service) | 3323 Liberty St, Erie, PA 16508-2558 | 2008-04-03 |
| 1093907537 | Leonardi Group, Inc | Eyewear Supplier (Equipment, not the service) | 128 W 12th St Ste 200, Erie, PA 16501-1752 | 2007-08-17 |
| 1568518223 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 7360 Peach Street, Erie, PA 16509 | 2007-01-26 |
| 1679620777 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5800 Peach St, Millcreek Mall, Erie, PA 16509-1601 | 2007-01-04 |
| 1477610988 | West Penn Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2576 West 8th St, Erie, PA 16505 | 2007-01-03 |
| 1972510600 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 840 Mill Creek Mall, Erie, PA 16565 | 2006-08-02 |
| 1851931752 | Emx Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2049 Interchange Rd, Erie, PA 16509-8315 | 2020-01-09 |
| 1609410760 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2049 Interchange Rd, Erie, PA 16509-8315 | 2019-11-01 |
| 1821404393 | Jill D Cuthbertson, Od, PC | Eyewear Supplier (Equipment, not the service) | 1344 W 38th St, Erie, PA 16508-2462 | 2014-07-06 |
| Find all providers in ERIE | ||||
Please comment or provide details below to improve the information on WAL-MART STORES 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.