WAL-MART STORES, INC (NPI# 1477636090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477636090 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-0612 |
| Practice Address |
2250 Lincoln Ave Charleston IL 61920-3028 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2173451222 |
| Enumeration Date | 2006-10-24 |
| 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 30-0612 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
2250 LINCOLN AVE |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518190 | Aadil Vhora | Pharmacist | 2250 Lincoln Ave, Charleston, IL 61920-3028 | 2020-11-04 |
| 1184225492 | Jessica Lynn Taylor | Pharmacist | 2250 Lincoln Ave, Charleston, IL 61920-3028 | 2020-11-03 |
| 1023618667 | Kathryn Rennels | Pharmacist | 2250 Lincoln Ave, Charleston, IL 61920-3028 | 2020-10-30 |
| 1992305676 | Brian Wayne Gilbert | Pharmacist | 2250 Lincoln Ave, Charleston, IL 61920-3028 | 2020-10-30 |
| 1104426022 | Nancy Ann Martin | Pharmacist | 2250 Lincoln Ave, Charleston, IL 61920-3028 | 2020-10-29 |
| 1851318141 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2250 Lincoln Ave, Charleston, IL 61920-3028 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356643266 | Eugene George Gebhard | Technician/Technologist | 2015 Sam Rittenburg Blvd, Charleston, SC 29407 | 2010-11-29 |
| 1194910810 | Us Vision Optical Inc. | Technician/Technologist | 2070 Sam Rittenberg Blvd I -526 Hwy, Jcpenney Optical, Charleston, SC 29407 | 2007-09-06 |
| 1659795136 | Michelle Webb | Technician/Technologist | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2014-02-05 |
| 1891009379 | Deanna Lenore O'hare | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5732 | 2010-07-27 |
| 1083939664 | Ashley Optical | Technician/Technologist | 1637 Savannah Hwy, Charleston, SC 29407-6282 | 2010-04-07 |
| 1205091253 | Ronald Alan Harbert | Technician/Technologist | 349 Folly Rd, Suite 1a, Charleston, SC 29412-2508 | 2008-07-18 |
| 1265612378 | Karen S Norman | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5749 | 2007-11-06 |
| 1821219122 | Eyecare Optical LLC | Technician/Technologist | 125 Doughty Street, Suite 330, Charleston, SC 29403-5740 | 2007-05-02 |
| 1588793947 | Carolina Eyes | Technician/Technologist | 2015 Sam Rittenberg Blvd, Charleston, SC 29407-4601 | 2007-03-03 |
| 1326124538 | Wal-mart Stores East, Lp | Technician/Technologist | 1231 Folly Rd, Charleston, SC 29412-4105 | 2006-10-31 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
Please comment or provide details below to improve the information on WAL-MART STORES, INC.
| 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.