WAL-MART STORES EAST, LP (NPI# 1609958859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609958859 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0584 |
| Practice Address |
20 Ferguson Blvd Dry Ridge KY 41035-8635 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 8598240575 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (NPI COORDINATOR) |
| Authorized Official Telephone | 3167885580 |
| 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 |
|---|---|
| Vision Center 30-0584 | 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 |
20 FERGUSON BLVD |
| City | DRY RIDGE |
| State | KY |
| Zip Code | 41035-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356368682 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2006-07-16 |
| 1194325217 | Holly Lyn Stahl | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2020-10-28 |
| 1821698945 | Tina Maria Richardson | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2020-10-28 |
| 1033719547 | Amanda Lerae Naranjo | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2020-10-26 |
| 1841681400 | Jacob Family Eyecare, LLC | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2015-02-17 |
| 1376767129 | Charles Patrick Childers | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-04-12 |
| 1952431199 | Stephanie Jacob | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-03-06 |
| 1124173521 | Kevin Sean Jacob | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164713103 | Grant County Wellness Center LLC | Anesthesiology | 99 S. Main St., Dry Ridge, KY 41035 | 2011-04-25 |
| 1174745772 | Swiss Enterprises, Inc. | Chiropractor | 95 South Main Street, Dry Ridge, KY 41035 | 2007-05-03 |
| 1003907015 | Timothy J Mcmahon | Dentist | 300 Arbors Drive, Suite 5, Dry Ridge, KY 41035 | 2006-09-27 |
| 1174552335 | City of Dry Ridge Kentucky | Ambulance | 31 Broadway St, Dry Ridge, KY 41035 | 2006-07-01 |
| 1821385733 | Jonathan A Byers | Family Medicine | 19 S Main St, Dry Ridge, KY 41035 | 2011-06-30 |
| 1023274651 | Grant Pharmacists Group Inc | Pharmacy | 40 Broadway, Dry Ridge, KY 41035 | 2008-08-04 |
| 1881600054 | Milissa Lynn Sullivan | Occupational Therapist | 118 S Main St, Dry Ridge, KY 41035 | 2006-07-31 |
| 1669405288 | Kelly Catherine Wuellner | Physical Therapist | 118 S Main St, Suites 6 & 7, Dry Ridge, KY 41035 | 2006-07-08 |
| 1225060379 | Debra Stanley Turner | Physical Therapist | 118 S Main St, Suites 6 & 7, Dry Ridge, KY 41035 | 2006-07-07 |
| 1033178777 | Troy Kenneth Ashcraft | Family Medicine | 19 S Main St, Dry Ridge, KY 41035 | 2006-03-21 |
| Find all providers in zip 41035 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
| 1760045231 | Nancy M Naiser | Technician/Technologist | 140 W Pike St, Covington, KY 41011-2310 | 2019-04-19 |
| 1598229098 | Lisa Nicholas | Technician/Technologist | 1707 Cumberland Falls Hwy Ste U4, Corbin, KY 40701-2744 | 2019-01-29 |
| 1376011494 | Brian D Blevins | Technician/Technologist | 30 Highland Meadows Cir Ste 11, Highland Heights, KY 41076-1788 | 2018-11-06 |
| 1720578446 | Kenneth Antonio Shoats Jr. | Technician/Technologist | 1325 Bardstown Rd, Louisville, KY 40204-1319 | 2018-05-17 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1932568235 | Wal-mart Stores East, Lp | Technician/Technologist | 6501 Veterens Memorial Pkwy, Crestwood, KY 40014-8694 | 2016-02-15 |
| 1740614866 | Christopher Michael Boston I | Technician/Technologist | 7951 Hopeful Church Rd, Florence, KY 41042-7922 | 2013-08-26 |
| 1003157199 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4993-4995 Houston Road, Florence, KY 41042 | 2013-03-14 |
| 1982955274 | Mel Len Dukes | Technician/Technologist | 110 W Everly Brothers Blvd Ste G, Central City, KY 42330-2708 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
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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.