WAL-MART STORES, INC (NPI# 1558454413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558454413 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-1439 |
| Practice Address |
625 W Telegraph St Washington UT 84780-1541 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 4356282802 |
| Enumeration Date | 2006-10-02 |
| 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 30-1439 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
625 W TELEGRAPH ST |
| City | WASHINGTON |
| State | UT |
| Zip Code | 84780-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750351979 | Jeffery J Thatcher | Optometrist | 625 W Telegraph St, Washington, UT 84780-1541 | 2006-01-23 |
| 1427659531 | Milyn Gessele | Pharmacist | 625 W Telegraph St, Washington, UT 84780-1541 | 2020-11-04 |
| 1720688328 | Kristin Porter | Pharmacist | 625 W Telegraph St, Washington, UT 84780-1541 | 2020-11-01 |
| 1770183576 | Cale Batt | Pharmacist | 625 W Telegraph St, Washington, UT 84780-1541 | 2020-10-29 |
| 1235791971 | Robert Jarecki | Pharmacist | 625 W Telegraph St, Washington, UT 84780-1541 | 2019-07-02 |
| 1740587625 | Red Cliffs Eye Care, Inc. | Optometrist | 625 W Telegraph St, Washington, UT 84780-1541 | 2011-02-11 |
| 1780601971 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 625 W Telegraph St, Washington, UT 84780-1541 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1457549958 | Nancy J Jenkins | Counselor | 3833 South Mitchell Dr, Washington, UT 84780 | 2007-10-09 |
| 1629274840 | Adam Paul Murie | Chiropractor | 2250 Coral Canyon Blvd. Ste. 202, Washington, UT 84780 | 2007-06-25 |
| 1083788350 | Robert Lawrence Gibson | Dentist | 2303 N Coral Canyon Blvd #202, Washington, UT 84780 | 2006-11-20 |
| 1407802879 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 915 W Red Cliffs Dr, Washington, UT 84780 | 2006-05-26 |
| 1578178547 | Signature Home Health St.george, LLC | In Home Supportive Care | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1033373816 | Stacy Leigh Niemann | Speech-Language Pathologist | 1032 E 100 S, St George, UT 84780 | 2008-07-11 |
| 1689188799 | Misti Michelle Miller | Massage Therapist | 568 W Telegraph St, Washington, UT 84780-1205 | 2017-11-28 |
| 1275045080 | Elite Healthcare Southern Utah LLC | Chiropractor | 568 W Telegraph St Ste 4, Washington, UT 84780-1206 | 2017-11-02 |
| Find all providers in zip 84780 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558791368 | Peter Akinsanya | Technician/Technologist | 727 Irving St Nw, Washington, DC 20010-1519 | 2013-11-14 |
| 1962755793 | New Vision Optica Inc | Technician/Technologist | 3431 14th St Nw, Suite #2, Washington, DC 20010-3459 | 2012-10-17 |
| 1649592965 | America's Best Contacts & Eyeglasses | Technician/Technologist | 844 W Telegraph St Ste 3, Washington, UT 84780-1786 | 2010-03-01 |
| 1952502734 | Kenneth Robert Preston | Technician/Technologist | 1516 U Street Nw, Lower Level, Washington, DC 20009-8004 | 2007-05-30 |
| 1720208093 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1060 Brentwood Ave Ne, Suite B-3, Washington, DC 20018 | 2007-04-27 |
| 1902961733 | Wal-mart Stores East, Lp | Technician/Technologist | 100 Bypass 50 Plaza, Washington, IN 47501 | 2006-12-22 |
| 1144381781 | Wal-mart Stores, Inc. | Technician/Technologist | 1701 Pearson Dr., Washington, MO 63090 | 2006-12-13 |
| 1841848827 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 1160 Varnum St Ne Ste 11, Washington, DC 20017-2110 | 2019-09-03 |
| 1922543099 | Jems Optical, LLC | Technician/Technologist | 1401 New York Ave Nw, Washington, DC 20005-2102 | 2016-12-28 |
| 1801265020 | Wal-mart Stores East, Lp | Technician/Technologist | 310 Riggs Rd Ne, Washington, DC 20011-2534 | 2015-09-17 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 84780 |
Please comment or provide details below to improve the information on WAL-MART 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.