WAL-MART STORES EAST, LP (NPI# 1558441261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558441261 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-5263 |
Practice Address |
2300 Treasury Dr Se Cleveland TN 37323-7185 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 4234729660 |
Enumeration Date | 2006-10-17 |
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 30-5263 | 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 |
2300 TREASURY DR SE |
City | CLEVELAND |
State | TN |
Zip Code | 37323-7185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104843200 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2300 Treasury Dr Se, Cleveland, TN 37323-7185 | 2006-07-16 |
1811486830 | Elizabeth Sevic | Pharmacist | 2300 Treasury Dr Se, Cleveland, TN 37323-7185 | 2018-05-04 |
1184125270 | Alpaben Patel | Pharmacist | 2300 Treasury Dr Se, Cleveland, TN 37323-7185 | 2018-02-23 |
1790286979 | Robert Hays | Pharmacist | 2300 Treasury Dr Se, Cleveland, TN 37323-7185 | 2018-02-23 |
1154570505 | Paul Michael Flanagan | Optometrist | 2300 Treasury Dr Se, Cleveland, TN 37323-7185 | 2008-09-10 |
1790829067 | Robert Irwin Fulford | Pharmacist | 2300 Treasury Dr Se, Cleveland, TN 37323-7185 | 2007-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477066082 | Quadmed Medical Clinics of Wisconsin, S.c. D/b/a Quadmed Medical Group | Registered Nurse | 2525 Benton Pike Ne, Cleveland, TN 37323 | 2017-11-06 |
1679877518 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 207 Kile Lake Road, Cleveland, TN 37323 | 2011-01-07 |
1376847251 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 209 Kile Lake Road, Cleveland, TN 37323 | 2011-01-06 |
1508084302 | Karen Elizabeth Gannon | Nurse Practitioner | 11111 Doctor's Office Tower, 2200 Children's Way, Nashville, TN 37323 | 2007-04-24 |
1235353566 | Melissa D Townsend | Specialist/Technologist, Other | 120 Fern Drive, Cleveland, TN 37323 | 2007-04-11 |
1306965686 | David Wayne Miolen | Dentist | 2648 Apd 40, Cleveland, TN 37323 | 2007-03-28 |
1780751933 | Linda Fay Wooten | Driver | 2259 Spring Place Rd Se, Cleveland, TN 37323 | 2006-11-30 |
1487134482 | Kristy Alese Henegar | Nurse Practitioner | 1420 Fritz St Se, Cleveland, TN 37323 | 2018-08-19 |
1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
1831339589 | Lyle Foster Johnson | Occupational Therapy Assistant | 2657 Apd 40, Cleveland, TN 37323-0696 | 2009-02-20 |
Find all providers in zip 37323 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447650650 | Mum-ford Inc | Technician/Technologist | 6129 Saint Clair Ave, Cleveland, OH 44103-1627 | 2014-08-26 |
1588930127 | Joseph D Colini | Technician/Technologist | 4320 Pearl Rd, Cleveland, OH 44109-4209 | 2012-03-28 |
1063713980 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3061 Westgate, Cleveland, OH 44126-1308 | 2010-11-09 |
1164686267 | North Park Optical | Technician/Technologist | 20670 N Park Blvd, Cleveland, OH 44118-4519 | 2008-07-17 |
1689852519 | Cleveland Optical Inc | Technician/Technologist | 802 1st St, Cleveland, MS 38732-2310 | 2008-02-01 |
1679690929 | William A. Berris | Technician/Technologist | 2183 S Green Rd, Cleveland, OH 44121-3313 | 2007-03-23 |
1215052493 | Jeffery Lee Leonard | Technician/Technologist | 2733 Keith St., Cleveland, TN 37311 | 2007-03-20 |
1346384351 | Aaron L Wilson | Technician/Technologist | 913 Keith St Nw, Cleveland, TN 37311-1804 | 2007-02-16 |
1932247996 | Jerold Optical Inc. | Technician/Technologist | 800 Huron Rd E, Cleveland, OH 44115-1121 | 2007-02-02 |
1194825893 | Sam's Club Optical | Technician/Technologist | 10250 Brookpark Road, Cleveland, OH 44130-1106 | 2006-09-22 |
Find all providers in CLEVELAND |
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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.