WAL-MART STORES EAST, LP (NPI# 1487737508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487737508 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0431 |
| Practice Address |
3220 Irvin Cobb Dr Paducah KY 42003-0337 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2704446941 |
| Enumeration Date | 2006-10-23 |
| 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 30-0431 | 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 |
3220 IRVIN COBB DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-0337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732414 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2006-07-16 |
| 1396346078 | Tracy Lee Douglas | Pharmacist | 3220 Irvin Cobb Dr, Paducah, KY 42003-2196 | 2020-11-08 |
| 1255931887 | Richard Thomas Jones | Pharmacist | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2020-11-01 |
| 1598390148 | Megan Danielle Mcdowell | Nurse Practitioner | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2020-03-04 |
| 1790232684 | Anna Michelle Bushong | Nurse Practitioner | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2016-09-08 |
| 1740575729 | Natasha Danielle Belt Lane | Nurse Practitioner | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2011-06-17 |
| 1417259730 | Christie Ann Strickland | Nurse Practitioner | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2010-11-18 |
| 1346418001 | Sheryl Ann Holmes | Nurse Practitioner | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2008-02-15 |
| 1831232503 | William Gregory Martin | Optometrist | 3220 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518297837 | America's Best Contact & Eyeglasses | Technician/Technologist | 3206 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2010-01-08 |
| 1295946960 | August Mark Seilheimer | Technician/Technologist | 3340 Irvin Cobb Dr, Paducah, KY 42003-0501 | 2007-05-24 |
| 1851912687 | Success Vision Express of Paducah, LLC | Technician/Technologist | 467 Jordan Dr, Suite 102, Paducah, KY 42001 | 2020-05-04 |
| 1316447147 | Timothy Keene | Technician/Technologist | 2408 New Holt Rd, Paducah, KY 42001-7455 | 2018-02-19 |
| 1992887137 | Wal-mart Stores East, Lp | Technician/Technologist | 5130 Hinkleville Rd, Paducah, KY 42001-9132 | 2006-10-19 |
| 1821188079 | Sam's Club Optical | Technician/Technologist | 3550 James Sanders Blvd, Paducah, KY 42001-9159 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
| 1760045231 | Nancy M Naiser | Technician/Technologist | 140 W Pike St, Covington, KY 41011-2310 | 2019-04-19 |
| 1598229098 | Lisa Nicholas | Technician/Technologist | 1707 Cumberland Falls Hwy Ste U4, Corbin, KY 40701-2744 | 2019-01-29 |
| 1376011494 | Brian D Blevins | Technician/Technologist | 30 Highland Meadows Cir Ste 11, Highland Heights, KY 41076-1788 | 2018-11-06 |
| 1720578446 | Kenneth Antonio Shoats Jr. | Technician/Technologist | 1325 Bardstown Rd, Louisville, KY 40204-1319 | 2018-05-17 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1932568235 | Wal-mart Stores East, Lp | Technician/Technologist | 6501 Veterens Memorial Pkwy, Crestwood, KY 40014-8694 | 2016-02-15 |
| 1740614866 | Christopher Michael Boston I | Technician/Technologist | 7951 Hopeful Church Rd, Florence, KY 41042-7922 | 2013-08-26 |
| 1003157199 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4993-4995 Houston Road, Florence, KY 41042 | 2013-03-14 |
| 1982955274 | Mel Len Dukes | Technician/Technologist | 110 W Everly Brothers Blvd Ste G, Central City, KY 42330-2708 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
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.