WAL-MART STORES , INC. (NPI# 1568525343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568525343 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES , INC. |
| Other Organization Name | WAL-MART VISION CENER 30-3867 |
| Practice Address |
200 W. 136th Ave. Westminster CO 80020 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 7209291776 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BJ RICE (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792779835 |
| 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 |
|---|---|
| Wal-Mart Vision Cener 30-3867 | Doing Business As Name - Organization |
| Street Address |
200 W. 136TH AVE. |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985964 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 200 Washington Heights Medical Cetner, Westminster, MD 21157-2115 | 2019-11-06 |
| 1124540182 | National Vision, Inc. | Technician/Technologist | 6771 Westminster Blvd Ste B, Westminster, CA 92683-3798 | 2017-07-12 |
| 1972984391 | 20/20 Eyevenue | Technician/Technologist | 14676 Delaware St, Suite 400, Westminster, CO 80023-9183 | 2015-06-11 |
| 1710521976 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 826 Washington Rd Ste 200, Westminster, MD 21157-5780 | 2019-10-31 |
| 1942792809 | 20-20 Eyevenue | Technician/Technologist | 14676 Delaware St Unit 400, Westminster, CO 80023-9184 | 2018-06-05 |
| 1992174130 | Wal-mart Stores, Inc | Technician/Technologist | 7155 Sheridan Blvd, Westminster, CO 80003-3803 | 2015-09-17 |
| 1497050991 | Elizabeth Coppola | Technician/Technologist | 111 Retreat St, Westminster, SC 29693-1724 | 2011-01-14 |
| 1023259306 | America's Best Contacts & Eyeglasses | Technician/Technologist | 400 Englar Rd, Westminster, MD 21157-4852 | 2009-03-16 |
| 1376733261 | Ronald Lester Eisenstein | Technician/Technologist | 200 Washington Heights Med Ctr, Westminster, MD 21157-5633 | 2007-07-27 |
| 1073678546 | Frank Robertson | Technician/Technologist | 5 Carroll Plz, Westminster, MD 21157-4601 | 2006-12-26 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80020 |
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.