WAL-MART STORES EAST, L.P. (NPI# 1508997024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508997024 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, L.P. |
| Other Organization Name | VISION CENTER 30-3412 |
| Practice Address |
200 Kocher Lane Elizabethville PA 17023 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 7173624449 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| 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 |
|---|---|---|---|---|---|
| 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 30-3412 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164623419 | Wal-mart Stores East, L.p. | Technician/Technologist | 1274 E. 2nd St., Franklin, OH 45005 | 2007-05-31 |
| 1992836498 | Wal-mart Stores East, L.p. | Technician/Technologist | 805 Us 275, Cynthiana, KY 41031 | 2007-03-08 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| 1720119233 | Wal-mart Stores East, L.p. | Technician/Technologist | 201 Chamber Drive, Milford, OH 45150 | 2007-03-08 |
| 1518098011 | Wal-mart Stores East, L.p. | Technician/Technologist | 100 Valley Parkway, Northbridge, MA 01588 | 2007-03-08 |
| 1821129321 | Wal-mart Stores East, L.p. | Technician/Technologist | 1114 Newpoint Blvd, Leland, NC 28451 | 2007-03-08 |
| 1922139344 | Wal-mart Stores East, L.p. | Technician/Technologist | 4928 State Rd. 674, Ruskin, FL 33598 | 2007-03-08 |
| 1013048529 | Wal-mart Stores East, L.p. | Eyewear Supplier (Equipment, not the service) | 965 Broadhollow Rd, Farmingdale, NY 11735 | 2007-03-08 |
| 1033240429 | Wal-mart Stores East, L.p. | Technician/Technologist | 1 Tygart Valley Mall, Fairmont, WV 26554-3430 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | WAL-MART STORES EAST, L.P. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Connecticut Business Registrations | WAL-MART STORES EAST, LIMITED PARTNERSHIP | 702 Sw 8th Street, Bentonville, AR 72716 |
| 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 |
200 KOCHER LANE |
| City | ELIZABETHVILLE |
| State | PA |
| Zip Code | 17023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073686176 | Brett A Bellis | Chiropractor | 129 Locust Street, Elizabethville, PA 17023 | 2006-11-16 |
| 1629155445 | Wyndham Healthcare Inc. | Home Health | 27 S Market Street, Elizabethville, PA 17023 | 2006-11-01 |
| 1497853139 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4686 Rte 209 Lykens Valley Sc, Elizabethville, PA 17023 | 2006-09-20 |
| 1164064135 | Amanda Ruzansky | Counselor | 20 Clearfield Street, Elizabethville, PA 17023 | 2019-10-11 |
| 1316068406 | Wyndham Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 27 S Market Street, Elizabethville, PA 17023 | 2007-04-03 |
| 1063403046 | The Kepler Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 S. Market St., Elizabethville, PA 17023-0680 | 2005-10-31 |
| 1659494508 | Cynthia Campbell Stauffer | Psychologist | 20 Clearfield Street, Elizabethville, PA 17023-1702 | 2007-04-07 |
| 1821655747 | Home Insite LLC | Registered Nurse | 16 E Main St, Elizabethville, PA 17023-2001 | 2019-05-27 |
| 1366982274 | Genesis House, Inc. | Counselor | 2 E Main St, Elizabethville, PA 17023-2026 | 2017-02-27 |
| 1639557887 | Keith Malzi | Registered Nurse | 16 E Main St, Elizabethville, PA 17023-2026 | 2015-05-08 |
| Find all providers in zip 17023 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
| 1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
| 1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHVILLE |
| Zip Code | 17023 |
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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.