WAL-MART STORES EAST, LP (NPI# 1477924009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477924009 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-3560 |
| Practice Address |
638 Quequechan St Fall River MA 02721-4005 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 5087302978 |
| Practice Fax Number | 5087301631 |
| Mailing Telephone | 4792586180 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACTING & ENROLL) |
| Authorized Official Telephone | 4792048550 |
| 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 30-3560 | 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 |
638 QUEQUECHAN ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02721-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912924226 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 638 Quequechan St, Fall River, MA 02721-4005 | 2006-07-16 |
| 1477154144 | Michelle Lee | Pharmacist | 638 Quequechan St, Fall River, MA 02721-4083 | 2020-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1316561814 | Sravanthi Tapal | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fallriver, MA 02721 | 2020-06-01 |
| 1447808811 | Guilbert Maria | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fall River, MA 02721 | 2019-08-29 |
| 1619466638 | Alpha Dental Center, P.c | Dentist | 516 Newton St., Fall River, MA 02721 | 2018-05-04 |
| 1083987374 | Fall River Dental Center | Dentist | 516 Newton St, Fall River, MA 02721 | 2012-02-16 |
| 1033489109 | Phoenix Psychiatric Services | Clinic/Center | 101 Jeremiah Sullivan Dr, Fall River, MA 02721 | 2012-01-06 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1346481280 | Paul Ongulo | Counselor | 170 Pleasant Street, Fall River, MA 02721 | 2009-03-23 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1174793244 | Joan P Riley | Social Worker | 700 Shore Dr Unit 605, Fall River, MA 02721 | 2008-03-05 |
| Find all providers in zip 02721 | ||||
| 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 |
|---|---|---|---|---|
| 1558352013 | Center for Sight, Inc | Eyewear Supplier (Equipment, not the service) | 1565 N Main St, Ste 406, Fall River, MA 02720-2972 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1699373662 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 420 Attucks Ln, Hyannis, MA 02601-8141 | 2020-10-13 |
| 1619575693 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 495 Hubbard Ave, Pittsfield, MA 01201-3810 | 2020-10-13 |
| 1578161543 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Crown Colony Dr, Quincy, MA 02169-0959 | 2020-10-13 |
| 1346848272 | Onsight Vision, LLC | Eyewear Supplier (Equipment, not the service) | 177 Huntington Ave Ste 1700, #7005, Boston, MA 02115-3165 | 2020-10-13 |
| 1679171755 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 42 Colrain Rd, Greenfield, MA 01301-9625 | 2020-10-12 |
| 1902404148 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 25 Shelley Rd, Haverhill, MA 01835-8033 | 2020-10-10 |
| 1881292027 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1 Highland Common West, Hudson, MA 01749-2048 | 2020-10-10 |
| 1285231878 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 5 Ward St, Revere, MA 02151-1319 | 2020-10-06 |
| 1881200574 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 460 State Rd, N Dartmouth, MA 02747-4308 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02721 |
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.