WAL-MART STORES EAST, LP (NPI# 1477722171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477722171 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1783 |
| Practice Address |
2700 W Broadway St Princeton IN 47670-9418 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 8123866620 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DAVID J SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-1783 | 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 |
2700 W BROADWAY ST |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588681704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2700 W Broadway St, Princeton, IN 47670-9418 | 2006-07-16 |
| 1134720253 | Jon Adam Woebkenberg | Pharmacist | 2700 W Broadway St, Princeton, IN 47670-9418 | 2020-11-04 |
| 1689227548 | Rachael Schmitt | Pharmacist | 2700 W Broadway St, Princeton, IN 47670-9418 | 2019-07-19 |
| 1013326917 | Jason S Broeker | Pharmacist | 2700 W Broadway St, Princeton, IN 47670-9418 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
| Find all providers in zip 47670 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992170914 | National Vision, Inc. | Technician/Technologist | 640 Nassau Park Blvd, Princeton, NJ 08540-5949 | 2015-12-02 |
| 1053464024 | Princeton Optical | Technician/Technologist | 1304 W Broadway St, Princeton, IN 47670-1140 | 2007-01-21 |
| 1952765703 | Wal-mart Stores Texas, LLC | Technician/Technologist | 701 W Princeton Dr, Princeton, TX 75407-9002 | 2016-04-07 |
| 1689043176 | Wal-mart Stores East, Lp | Technician/Technologist | 1500 Us Highway 62 W, Princeton, KY 42445-6106 | 2015-09-15 |
| 1710221023 | Wal-mart Stores Inc | Technician/Technologist | 300 21st Ave N, Princeton, MN 55371 | 2012-11-27 |
| 1770873655 | Value Vision Optical, LLC | Technician/Technologist | 109 W Broadway St, Princeton, IN 47670-1501 | 2011-04-13 |
| 1437376522 | Felton,wong,wong & Reynolds,pa | Technician/Technologist | 419 N Harrison St, Suite 104, Princeton, NJ 08540-3521 | 2007-04-19 |
| 1194898171 | A-z, Inc. | Technician/Technologist | 310 Locust St., #6, Princeton, WV 24740 | 2006-11-16 |
| 1295816189 | Wal-mart Stores, Inc | Technician/Technologist | 2111 Claude Bailey Pkwy, Princeton, IL 61356-8618 | 2006-10-18 |
| 1104920396 | Wal-mart Stores East, Lp | Technician/Technologist | 201 Greasy Ridge Rd, Princeton, WV 24740-6900 | 2006-09-11 |
| Find all providers in PRINCETON | ||||
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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.