WAL-MART STORES EAST LP (NPI# 1548271265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548271265 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | VISION CENTER 30-5261 |
| Practice Address |
100 Commercial Dr Pineville MO 64856 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4172265850 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | DIANNA J PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-5261 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
100 COMMERCIAL DR |
| City | PINEVILLE |
| State | MO |
| Zip Code | 64856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801915244 | Gary David Neymeyer | Optometrist | 342 Commercial Drive, Pineville, MO 64856 | 2007-03-28 |
| 1790811784 | Lifestyle Wellness Center, LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2007-02-26 |
| 1093715740 | Judith G Lewallen | Nurse Practitioner | 100 Jessie James Blvd, Pineville, MO 64856 | 2005-07-22 |
| 1548269046 | Elk River Health Services, Inc. | Clinic/Center | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 | 2005-07-18 |
| 1780859272 | Lifestyle Wellness Center LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2008-04-25 |
| 1861670317 | State Line Chiropractic Clinic LLC | Chiropractor | 95 Bear Hollow Rd, Pineville, MO 64856 | 2008-02-07 |
| 1104028687 | Norman Alan Smith | Chiropractor | 307 Main St, Pineville, MO 64856 | 2007-06-05 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1184740334 | County of Mcdonald | Public Health or Welfare | 500 Olin St, Pineville, MO 64856-0366 | 2007-03-21 |
| 1538319009 | Norman Fredrick Waters | Registered Nurse | 1437 Tyson Rd, Pineville, MO 64856-7014 | 2008-09-22 |
| Find all providers in zip 64856 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534120 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 11715 Carolina Place Pkwy, Pineville, NC 28134-8819 | 2020-09-24 |
| 1154332534 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 11017 Carolina Place Pkwy, Pineville, NC 28134-8370 | 2006-08-10 |
| 1104296607 | Alexandria Eye and Laser Center, LLC | Eyewear Supplier (Equipment, not the service) | 3200 Monroe Hwy, Suite 134, Pineville, LA 71360-8110 | 2015-09-28 |
| 1528345139 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 11025 Carolina Place Pkwy, Pineville, NC 28134-8399 | 2011-11-10 |
| 1841346939 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11025 Carolina Place Pkwy, Pineville, NC 28134-8399 | 2007-01-25 |
| 1366597726 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 11715 Carolina Place Pkwy, Pineville, NC 28134 | 2007-01-24 |
| 1972669224 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 11033 Carolina Place Pkwy, Pineville, NC 28134-8370 | 2006-12-29 |
| 1558442764 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 11025 Carolina Place Pkwy, Pineville, NC 28134 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
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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.