WAL-MART STORES EAST, LP (NPI# 1609050590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609050590 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART OPTICAL HOME OFFICE |
| Practice Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4792771850 |
| Practice Fax Number | 4792778176 |
| Mailing Telephone | 4792771850 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | MR. WES G CRAINSHAW III (OPTICAL PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 4792771850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Optical Home Office | 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 |
702 SW 8TH STREET |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72716-0235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081946 | David Neal Kilgo | Pharmacist | 702 Sw 8th Street, Bentonville, AR 72716-0230 | 2005-05-23 |
| 1457535338 | Sams East Inc | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| 1265616122 | Wal Mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| 1043494933 | Wal-mart Stores Texas, Lp | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| 1598949455 | Sams West Inc | Eyewear Supplier (Equipment, not the service) | 702 Sw 8th Street, Bentonville, AR 72716-0235 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471785 | Laura Lovrien | Pharmacist | 508 Sw 8th St, Bentonville, AR 72716 | 2006-05-09 |
| 1194040865 | Raja Sekhar Reddy Dondeti | Family Medicine | 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72716-0001 | 2010-04-06 |
| 1376726968 | Smith Fs2 Inc | Durable Medical Equipment & Medical Supplies | 3301 S Walton Blvd, Suite 21, Bentonville, AR 72716-0001 | 2007-12-06 |
| 1447699434 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 701 Sw Regional Airport Blvd, Bentonville, AR 72716-0001 | 2013-06-23 |
| 1245770759 | Wal-mart Stores East, Lp | Technician/Technologist | 702 Sw 8th St, Mail Stop 0445, Bentonville, AR 72716-0445 | 2017-03-02 |
| 1154737351 | Debbie Mack | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-0445 | 2014-07-08 |
| 1710587324 | Sylvia C Kabura | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2020-11-01 |
| 1821613498 | Dadrion Annette Gaston | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2020-06-10 |
| 1952883324 | Carissa Fisher | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2018-09-03 |
| 1336515477 | George Chapman Jr. | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2015-08-12 |
| Find all providers in zip 72716 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841376035 | Sam's Club Optical | Technician/Technologist | 3500 S.e. Club Blvd., Bentonville, AR 72712 | 2006-10-31 |
| 1245770759 | Wal-mart Stores East, Lp | Technician/Technologist | 702 Sw 8th St, Mail Stop 0445, Bentonville, AR 72716-0445 | 2017-03-02 |
| 1578649976 | Wal-mart Stores, Inc. | Technician/Technologist | 406 S Walton Blvd, Bentonville, AR 72712-5705 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1063837847 | Rick Rakotz | Technician/Technologist | 1400 N Devils Den Rd, Winslow, AR 72959-2605 | 2014-03-03 |
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1922355585 | Crystal Vision, Inc | Technician/Technologist | 2935 Lakewood Village Dr, North Little Rock, AR 72116-8033 | 2012-08-13 |
| 1336447887 | Steven Wayne Slane I | Technician/Technologist | 1001 W Walnut St Ste 6, Rogers, AR 72756-3525 | 2011-03-08 |
| 1053643817 | Mickey Lee Drake I | Technician/Technologist | 111 Ponderosa Ln, Suite H, Hot Springs Village, AR 71909-5018 | 2010-02-04 |
| 1235378589 | Zoella Kay Rogers | Technician/Technologist | 5111 Rogers Ave Ste 120p, Fort Smith, AR 72903-2033 | 2009-02-10 |
| 1609012053 | Lonnie E. Burrow | Technician/Technologist | 5909 R St, Little Rock, AR 72207-4417 | 2009-01-06 |
| 1346401650 | Traci L Wyatt | Technician/Technologist | 104 W Colt Square Dr, Suite 2, Fayetteville, AR 72703-2834 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72716 |
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.