WAL-MART STORES EAST, LP (NPI# 1538242474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538242474 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2129 |
| Practice Address |
100 Supercenter Dr Clearfield PA 16830-6027 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 8147658089 |
| 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 30-2129 | 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 |
100 SUPERCENTER DR |
| City | CLEARFIELD |
| State | PA |
| Zip Code | 16830-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256068 | Bradley K Singer | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2005-09-20 |
| 1316547631 | Tina Marie Connor | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2020-10-27 |
| 1356501118 | Christie Leigh Harmic | Pharmacist | 100 Supercenter Dr, Attn: Walmart Pharmacy, Clearfield, PA 16830-6027 | 2008-06-13 |
| 1720250830 | Kenneth John Mitchell II | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830 | 2008-03-28 |
| 1497925358 | Penny Withey | Pharmacist | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2008-03-06 |
| 1760584445 | Nestor J. Paronish | Optometrist | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2006-09-02 |
| 1932126091 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 Supercenter Dr, Clearfield, PA 16830-6027 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751773 | Katelyn Marie Coder | Counselor | 600 Leonard St., Clearfield, PA 16830 | 2017-10-12 |
| 1730607128 | Brianna Spencer | Specialist/Technologist | 308 Witmer Street, Clearfield, PA 16830 | 2017-09-06 |
| 1487061487 | Tuesday Dawn Baker-couturiaux | Counselor | 600 Leonard Street, Clearfield, PA 16830 | 2014-07-22 |
| 1841545076 | Rashmi Mishra | Internal Medicine | 531c Hannah St, Clearfield, PA 16830 | 2012-07-13 |
| 1609911502 | Andrew Williams Zimmerman | Dentist | 402 East Market St, Clearfield, PA 16830 | 2007-02-20 |
| 1780759753 | Matthew C Rich | Chiropractor | 6247 Clearfield Woodland Hwy, Clearfield, PA 16830 | 2006-11-22 |
| 1316039043 | Michael Guy Simpson | Optometrist | 100 Super Center Drive, Clearfield, PA 16830 | 2006-09-29 |
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1558370130 | Mary E Flick | Dentist | 114 S 2nd St, Clearfield, PA 16830 | 2006-08-05 |
| 1386650174 | Scott R. Strauss, D.o. | Family Medicine | 531a Hannah Street, Clearfield, PA 16830 | 2006-07-31 |
| Find all providers in zip 16830 | ||||
| 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 | CLEARFIELD |
| Zip Code | 16830 |
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.