WAL-MART STORES EAST, L.P (NPI# 1619008133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619008133 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, L.P |
| Other Organization Name | VISION CENTER 30-1644 |
| Practice Address |
120 Ajk Blvd Lewisburg PA 17837-7491 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5705228224 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DAVID J. SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| 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 |
|---|---|
| Vision Center 30-1644 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083741672 | Wal-mart Stores East, L.p | Technician/Technologist | 101 Howland Blvd., Deltona, FL 32738 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | WAL-MART STORES EAST, L.P. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Connecticut Business Registrations | WAL-MART STORES EAST, LIMITED PARTNERSHIP | 702 Sw 8th Street, Bentonville, AR 72716 |
| 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 |
120 AJK BLVD |
| City | LEWISBURG |
| State | PA |
| Zip Code | 17837-7491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306863451 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 120 Ajk Blvd, Lewisburg, PA 17837-7491 | 2006-07-16 |
| 1932709862 | Courtney Lynn Conrad | Pharmacist | 120 Ajk Blvd, Lewisburg, PA 17837-7491 | 2020-10-29 |
| 1013517499 | Trisha Elizabeth Mcguire | Pharmacist | 120 Ajk Blvd, Lewisburg, PA 17837-9335 | 2020-10-27 |
| 1144689605 | Keegan Clinton Miller | Pharmacist | 120 Ajk Blvd, Lewisburg, PA 17837-7491 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
| 1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
| 1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1114419710 | Society Hill Dental In Lewisburg | Dentist | 339 Market Street, Lewisburg, PA 17837 | 2018-05-31 |
| 1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
| 1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
| 1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
| Find all providers in zip 17837 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669646246 | Robin Shiverdecker | Technician/Technologist | 210 N Commerce St, Lewisburg, OH 45338-9343 | 2008-04-15 |
| 1033292537 | Wal-mart Stores East, Lp | Technician/Technologist | 1334 N Ellington Pkwy, Lewisburg, TN 37091-2218 | 2006-10-20 |
| 1932119021 | Wal-mart Stores East, Lp | Technician/Technologist | 520 N Jefferson St, Lewisburg, WV 24901-1164 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
| 1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
| 1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAL-MART STORES EAST, L.P.
| 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.