WAL-MART STORES EAST, LP (NPI# 1568910875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568910875 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-6931 |
| Practice Address |
4840 Outer Loop Louisville KY 40219-3302 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5023136348 |
| Practice Fax Number | 5029692383 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792771242 |
| 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 |
|---|---|
| Walmart Vision Center 30-6931 | 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 |
4840 OUTER LOOP |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376560698 | Wal-mart Stores East Lp | Pharmacy | 4840 Outer Loop, Louisville, KY 40219-3302 | 2006-07-16 |
| 1104426147 | Lisa D Salmons | Pharmacist | 4840 Outer Loop, Louisville, KY 40219-3302 | 2020-10-29 |
| 1720688500 | Aaron Charles Barber | Pharmacist | 4840 Outer Loop, Louisville, KY 40219-3302 | 2020-10-29 |
| 1720536790 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4840 Outer Loop, Louisville, KY 40219-3302 | 2016-09-19 |
| 1154792166 | Molly Murtaugh | Pharmacist | 4840 Outer Loop, Louisville, KY 40219-3302 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| 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 |
|---|---|---|---|---|
| 1598399727 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7900 Shelbyville Rd Ste B15, Louisville, KY 40222-5461 | 2020-02-26 |
| 1194215764 | Opticouture LLC | Eyewear Supplier (Equipment, not the service) | 959 Vine Street, Louisville, KY 40204-2071 | 2018-05-18 |
| 1417384207 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 7945 Bardstown Rd, Louisville, KY 40291-3437 | 2013-10-11 |
| 1336492453 | Headwack LLC | Eyewear Supplier (Equipment, not the service) | 1958 Production Ct, Louisville, KY 40299-2104 | 2012-10-26 |
| 1699966994 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 4601b Proximity Dr, Louisville, KY 40213-2483 | 2007-08-05 |
| 1740316462 | Springer and Lee Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4917 Brownsboro Rd, Louisville, KY 40222-6465 | 2007-02-26 |
| 1285760926 | Middletown Eye Care Pllc | Eyewear Supplier (Equipment, not the service) | 13324 Shelbyville Rd, Louisville, KY 40223-3936 | 2007-02-26 |
| 1649305095 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 4100 Outer Loop, Louisville, KY 40219-3849 | 2007-02-23 |
| 1588799035 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 3554 Springhurst Blvd, Louisville, KY 40241-4141 | 2007-02-23 |
| 1275679417 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 7607 Shelbyville Road, Louisville, KY 40222 | 2007-01-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
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.