WAL-MART STORES, INC (NPI# 1609961804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609961804 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | VISION CENTER 30-1784 |
| Practice Address |
3025 Lancaster Dr Ne Salem OR 97305-1348 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 5033787424 |
| Enumeration Date | 2006-10-04 |
| 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 30-1784 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| 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 |
3025 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407873540 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2006-07-16 |
| 1689284630 | Kent Reger Niedens | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1391 | 2020-08-05 |
| 1548884158 | Laura Ozuna | Optometrist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2020-05-31 |
| 1023501483 | Diana Yin | Optometrist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2018-06-11 |
| 1851775100 | Krista Fobert | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2015-07-16 |
| 1306241237 | Ashley Culley | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2014-11-04 |
| 1518376599 | Kathleen Fitzpatrick | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2014-08-04 |
| 1689971210 | Spencer D Woolley | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2011-02-16 |
| 1770812794 | Brian Chow | Optometrist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2009-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316028491 | Wal-mart Stores East, Lp | Technician/Technologist | 1101 W Highway 32, Salem, MO 65560-2368 | 2006-10-17 |
| 1750839072 | Wal-mart Stores East, Lp | Technician/Technologist | 1309 E Hackberry St, Salem, IN 47167-9604 | 2016-09-15 |
| 1134594682 | Wal-mart Stores East, Lp | Technician/Technologist | 450 Highland Ave, Salem, MA 01970-1765 | 2015-12-09 |
| 1013200575 | Heidi Elise Martin | Technician/Technologist | 224 N Broadway, Suite B1, Salem, NH 03079-2145 | 2011-05-17 |
| 1215232384 | Judith Catherine Delvalle-webb | Technician/Technologist | 224 N Broadway, Rt 28 Bldg E1, Salem, NH 03079-2145 | 2011-01-20 |
| 1265742084 | Matthew K Tucker | Technician/Technologist | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2010-10-14 |
| 1700026663 | Peouvisak Pen | Technician/Technologist | 151 Main St, Suite #10, Salem, NH 03079-3109 | 2009-03-04 |
| 1912059882 | Banville Optical Inc. | Technician/Technologist | 88 Lafayette St, Salem, MA 01970-3625 | 2007-01-18 |
| 1700967528 | Wal-mart Stores, Inc | Technician/Technologist | 1870 W Main St, Salem, IL 62881-5838 | 2006-10-18 |
| 1598846354 | Wal-mart Stores, Inc | Technician/Technologist | 1940 Turner Rd Se, Salem, OR 97302-2003 | 2006-10-18 |
| Find all providers in SALEM | ||||
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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.