WAL-MART STORES, INC. (NPI# 1578628483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578628483 |
Entity Type | Organization |
Organization Name | WAL-MART STORES, INC. |
Other Organization Name | WAL-MART VISION CENTER 30-3712 |
Practice Address |
7010 Auburn Blvd Citrus Heights CA 95621 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 9167298085 |
Enumeration Date | 2006-12-22 |
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 Center 30-3712 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
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 |
7010 AUBURN BLVD |
City | CITRUS HEIGHTS |
State | CA |
Zip Code | 95621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659979508 | Kevin Miller | Pharmacist | 7010 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2020-10-13 |
1023518297 | Charlie Kim | Pharmacist | 7010 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2018-02-14 |
1437520798 | Kristen Phuong Dang | Pharmacist | 7010 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2015-10-13 |
1891103560 | Reena Patel | Pharmacist | 7010 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2014-07-25 |
1538577598 | Loan Dang | Pharmacist | 7010 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2014-07-23 |
1700293792 | Jim Wassel | Pharmacist | 7010 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2014-07-22 |
1639234602 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 7010 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2006-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730612474 | Teaching Autistic Children, Inc | Behavioral Analyst | 6400 Tupelo Drive, Citrus Heights, CA 95621 | 2017-04-10 |
1164962023 | Elizabeth Devan | Behavior Technician | 6400 Tupelo Dr., Citrus Heights, CA 95621 | 2017-02-27 |
1407395940 | Jana Kenney | Counselor | 7327 #8 Auburn Oaks Court, Citrus Heights, CA 95621 | 2017-02-16 |
1306192026 | Steven C. Hammer, D.c. Professional Chiropractic Corp | Chiropractor | 6009 Auburn Blvd Ste 120, Citrus Heights, CA 95621 | 2012-07-31 |
1407131832 | Jason Court Richey | Pharmacist | 6144 Dewey Drive, Citrus Heights, CA 95621 | 2011-10-17 |
1184817488 | Robert Berry Mcvaugh | Marriage & Family Therapist | 6006 Broken Arrow Court, Citrus Heights, CA 95621 | 2007-08-21 |
1639379829 | Juliano Bianchi | Marriage & Family Therapist | 3650 A Auburn Blvd, Suite 200, Sacramento, CA 95621 | 2007-07-25 |
1043356785 | Louis J Orlando | Family Medicine | 5959 Greenback Lane Ste 210, Citrus Heights, CA 95621 | 2007-01-29 |
1417011461 | Rami Kaur Basrai | Dentist | 7001 Greenback Lane, Citrus Heights, CA 95621 | 2006-12-21 |
1942375027 | Daniel H Mcdowell | Dentist | 6432 Tupelo Dr, C 3, Citrus Heights, CA 95621 | 2006-11-22 |
Find all providers in zip 95621 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194256586 | National Vision, Inc. | Technician/Technologist | 5899 Sunrise Blvd, Citrus Heights, CA 95610-6866 | 2017-03-27 |
1932293149 | Sam's Club Optical | Technician/Technologist | 7147 Greenback Ln, Citrus Heights, CA 95621-5526 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
Find all providers with the same taxonomy |
City | CITRUS HEIGHTS |
Zip Code | 95621 |
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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.