WALMART STORES, INC. (NPI# 1508947508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508947508 |
| Entity Type | Organization |
| Organization Name | WALMART STORES, INC. |
| Other Organization Name | VISION CENTER 30-2767 |
| Practice Address |
4505 E Mckellips Rd Mesa AZ 85215-2523 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4806416728 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-2767 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720212632 | Walmart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 1551 Washington St. N, Twin Falls, ID 83301 | 2009-05-06 |
| 1225234461 | Walmart Stores, Inc. | Technician/Technologist | 1060 S Watson Rd, Buckeye, AZ 85326-3371 | 2007-06-25 |
| 1194801399 | Walmart Stores, Inc. | Technician/Technologist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2006-10-31 |
| 1568548766 | Walmart Stores, Inc. | Technician/Technologist | 2350 W Kettleman Ln, Lodi, CA 95242-4125 | 2006-10-31 |
| 1710061932 | Walmart Stores, Inc. | Technician/Technologist | 1400 Lead Hill Blvd, Roseville, CA 95661-2949 | 2006-10-24 |
| 1730261637 | Walmart Stores, Inc. | Technician/Technologist | 2560 N Perris Blvd, Perris, CA 92571-3249 | 2006-10-19 |
| 1205917127 | Walmart Stores, Inc. | Technician/Technologist | 5000 Rhonda Road, Anderson, CA 96007 | 2006-10-18 |
| 1922189067 | Walmart Stores, Inc. | Technician/Technologist | 32225 Highway 79 S, Temecula, CA 92592 | 2006-10-17 |
| 1982785036 | Walmart Stores, Inc. | Technician/Technologist | 1100 N Estrella Pkwy, Goodyear, AZ 85338-2808 | 2006-10-17 |
| 1518048651 | Walmart Stores, Inc. | Technician/Technologist | 2663 Canyon Springs Pkwy, Riverside, CA 92507-0911 | 2006-10-17 |
| Street Address |
4505 E MCKELLIPS RD |
| City | MESA |
| State | AZ |
| Zip Code | 85215-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508883729 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2006-07-16 |
| 1750876637 | Recon Dental Solutions LLC | Clinic/Center | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2018-06-25 |
| 1659820819 | Value Dental Centers Mesa East Az, LLC | Clinic/Center | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2016-09-29 |
| 1740738087 | Alan Grosso | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2016-09-15 |
| 1225437049 | Jack Weber | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2014-08-18 |
| 1255756201 | Vaishali Alpesh Patel | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2014-02-27 |
| 1114340569 | Francisco Madrid | Pharmacist | 4505 E Mckellips Rd, Mesa, AZ 85215-2523 | 2014-01-21 |
| 1487798443 | Elvin Ho Od PC | Optometrist | 4505 E Mckellips Rd, Vision Center, Mesa, AZ 85215 | 2007-02-16 |
| 1053480491 | Elvin Ho | Optometrist | 4505 E Mckellips Rd, Vision Center, Mesa, AZ 85215-2523 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1487200481 | Royalty Home Care Solutions, LLC | Assisted Living Facility | 6551 E. Menlo St, Mesa, AZ 85215 | 2019-08-15 |
| 1083170641 | Mylena Dashaun Smith | Psychologist | 2812 N. Norwalk St Bldg. 14, Ste 127 & 128, Mesa, AZ 85215 | 2019-02-19 |
| 1487134789 | Arizona Dental Professionals, P.C. | Dentist | 3218 N Recker Rd, Mesa, AZ 85215 | 2018-08-16 |
| 1619463494 | Compassion Care Home, LLC | Private Vehicle | 2863 N 64th Street, Mesa, AZ 85215 | 2018-07-05 |
| 1407293491 | Courtney D Warren | Physical Therapist | 2837 N Power Rd Ste 109, Mesa, AZ 85215 | 2013-05-30 |
| 1104182906 | Kirstin Anna Correia | Naturopath | 3405 N Higley Rd, Mesa, AZ 85215 | 2012-04-05 |
| 1154609683 | Cristy Lee Hoge | Pharmacist | 2151 N. Power Rd., Mesa, AZ 85215 | 2011-08-02 |
| 1699067546 | Fredrick G. Johnson | Registered Nurse | 4320 E Presidio St, #101, Mesa, AZ 85215 | 2011-05-11 |
| Find all providers in zip 85215 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659866564 | National Vision, Inc. | Technician/Technologist | 1438 S Power Rd Ste 101, Mesa, AZ 85206-3729 | 2018-06-25 |
| 1831686203 | Nationwide Vision Center, Inc. | Technician/Technologist | 1240 W Southern Ave Ste 101-p, Mesa, AZ 85202-4882 | 2018-04-20 |
| 1295029072 | James Licata | Technician/Technologist | 2048 E Baseline Rd # C-6, Mesa, AZ 85204-6969 | 2011-06-08 |
| 1508179151 | Paul Benedetti | Technician/Technologist | 8050 E Sugarloaf Cir, Mesa, AZ 85207-1485 | 2010-07-23 |
| 1174783294 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1155 S Power Rd Ste 102, Mesa, AZ 85206-3716 | 2008-06-12 |
| 1346461555 | Nationwide Vision Center, LLC | Technician/Technologist | 955 W Southern Ave, Suite #122, Mesa, AZ 85210-4903 | 2007-05-02 |
| 1881721520 | Gary Louis Ulmer | Technician/Technologist | 1450 W Southern Ave, Suite #8, Mesa, AZ 85202-4860 | 2007-02-28 |
| 1639225493 | Optical East Inc | Technician/Technologist | 4419 E Main St Ste 109, Mesa, AZ 85205-7900 | 2007-01-26 |
| 1396800116 | Wal-mart Stores, Inc. | Technician/Technologist | 1606 S Signal Butte Rd, Mesa, AZ 85209-1482 | 2006-12-22 |
| 1023171139 | Wal-mart Stores, Inc. | Technician/Technologist | 240 W Baseline Rd, Mesa, AZ 85210-6107 | 2006-12-19 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on WALMART 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.