WALMART VISION CENTER (NPI# 1609382241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609382241 |
| Entity Type | Organization |
| Organization Name | WALMART VISION CENTER |
| Other Organization Name | WALMART INC. |
| Practice Address |
3133 E Main St Mohegan Lake NY 10547-1521 |
| Practice Telephone | 9145261110 |
| Mailing Telephone | 9145261110 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | MRS. JESSICA L DANAHY (VISION CENTER MANAGER/LDO) |
| Authorized Official Telephone | 9145261110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
006376 | NY | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Walmart Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487858445 | Walmart Vision Center | Optometrist | 1706 W Reynolds St, Walmart Vision Center, Pontiac, IL 61764-9695 | 2007-06-13 |
| Street Address |
3133 E MAIN ST |
| City | MOHEGAN LAKE |
| State | NY |
| Zip Code | 10547-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326065558 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2006-07-16 |
| 1588171011 | Jessica L Eiler | Technician/Technologist | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2018-01-05 |
| 1033431747 | Daisy Fong | Pharmacist | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2010-02-22 |
| 1982810529 | Brenda Bai | Optometrist | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2007-05-14 |
| 1972671121 | Farrah Jean-baptiste | Optometrist | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2006-12-04 |
| 1588756894 | Wal-mart Stores East, Lp | Technician/Technologist | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740732965 | Nancy Messenger | Registered Nurse | 602 Panorama Drive, Mohegan Lake, NY 10547 | 2016-11-04 |
| 1245606532 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 3071 E Main St, Mohegan Lake, NY 10547 | 2015-08-20 |
| 1780960427 | Bernadette Ann Coyne | Speech-Language Pathologist | 3641 Cooper Street, Mohegan Lake, NY 10547 | 2011-10-26 |
| 1821389487 | Albert Wilhelm Perez | Physical Therapy Assistant | 3550 Mohegan Lake, Mohegan Lake, NY 10547 | 2011-04-29 |
| 1437470853 | Ingrid N. Hiller | Licensed Practical Nurse | 100 Sunfish Landing, Mohegan Lake, NY 10547 | 2010-06-21 |
| 1447573449 | Kenneth Evan Strauss | Pharmacist | 1775 East Main Street, Mohegan Lake, NY 10547 | 2010-03-04 |
| 1841444569 | Patricia Ann Marcus | Physical Therapist | 1573 Wenonah Trail, Mohegan Lake, NY 10547 | 2008-11-07 |
| 1104965771 | Shoprite Supermarkets, Inc | Pharmacy | 3140 E Main St Ste 300, Mohegan Lake, NY 10547 | 2007-02-06 |
| 1710051198 | Samuel Ross Gambino | Dentist | Rt.6 East Main Street, Mohegan Lake, NY 10547 | 2006-11-20 |
| 1639132905 | Mohegan Volunteer Fire Association Volunteer Ambulance Corps Inc | Ambulance | 1975 East Main St, Mohegan Lake, NY 10547 | 2006-04-08 |
| Find all providers in zip 10547 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588171011 | Jessica L Eiler | Technician/Technologist | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2018-01-05 |
| 1588756894 | Wal-mart Stores East, Lp | Technician/Technologist | 3133 E Main St, Mohegan Lake, NY 10547-1521 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
| City | MOHEGAN LAKE |
| Zip Code | 10547 |
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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.