WAL MART STORES, INC. DBA WAL-MART (NPI# 1487786836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487786836 |
| Entity Type | Organization |
| Organization Name | WAL MART STORES, INC. DBA WAL-MART |
| Other Organization Name | VISION CENTER 3778 |
| Practice Address |
4255 Cy Avenue Casper (w) WY 82604 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3072329593 |
| Mailing Telephone | 4792771175 |
| Mailing Fax Number | 4792778174 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SABRINA N SUTTON (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792771175 |
| 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 3778 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295822161 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 180 Niblick Road, Paso Robles, CA 93446-4842 | 2006-10-10 |
| 1205921459 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 301 Ranch Drive, Milpitas, CA 95035-5100 | 2006-10-04 |
| 1386739373 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 40580 Albrae St., Fremont, CA 94538-2448 | 2006-10-04 |
| 1265527261 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 12701 Towne Center Dr., Cerrito, CA 90703-8545 | 2006-10-04 |
| 1417040262 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 31700 Grape Street, Lake Elsinore, CA 92530-9785 | 2006-10-02 |
| Street Address |
4255 CY AVENUE |
| City | CASPER (W) |
| State | WY |
| Zip Code | 82604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489335 | Sasha Marie Baker | Behavior Technician | 945 Pendell Blvd, Casper, WY 82604 | 2017-07-13 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1619364437 | Daniel Dalen | Specialist/Technologist | 2342 Odell, Casper, WY 82604 | 2015-04-20 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1093938839 | Kelly L Heenan | Counselor | 3741 Arroyo Drive, Casper, WY 82604 | 2007-04-10 |
| 1649393943 | Leslie Keeler | Case Manager/Care Coordinator | 630 10 Mile Road, Casper, WY 82604 | 2007-04-09 |
| 1386778223 | Wyoming Health Fairs | Technician, Pathology | 115 South Elm St, Casper, WY 82604 | 2007-03-15 |
| Find all providers in zip 82604 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508200379 | Sams West, Inc. | Technician/Technologist | 4600 E 2nd St, Casper, WY 82609-4224 | 2013-04-24 |
| 1033302856 | Your Family Optical | Technician/Technologist | 4214 Cheyenne St, Cheyenne, WY 82001-1923 | 2007-08-24 |
| 1437379161 | Wyoming Optical Inc | Technician/Technologist | 485 E 2nd St, Casper, WY 82601-2507 | 2007-04-26 |
| 1326137399 | Sam's Club Optical | Technician/Technologist | 1948 Dell Range Blvd, Cheyenne, WY 82009-4917 | 2006-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1487054631 | Amy Ruskowsky | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9309 | 2014-08-25 |
| 1124220645 | Northern Wyoming Ophthalmology, P.C. | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-3423 | 2007-06-05 |
| 1558563064 | Bruce Cram | Technician/Technologist | 721 Sheridan Ave, Suite 280, Cody, WY 82414-3423 | 2007-06-05 |
| 1891829966 | Wal-mart Stores, Inc. | Technician/Technologist | 2300 S Douglas Hwy, Gillette, WY 82718-5420 | 2007-03-14 |
| 1164577029 | Michael S Pillen | Technician/Technologist | 2610 S Douglas Hwy, Ste 190, Gillette, WY 82718-6468 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | CASPER (W) |
| Zip Code | 82604 |
Please comment or provide details below to improve the information on WAL MART STORES, INC. DBA WAL-MART.
| 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.