WAL-MART STORES, INC. (NPI# 1639234420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639234420 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WAL-MART VISION CENTER 30-3537 |
| Practice Address |
7001 Bridgeport Way West Lakewood WA 98499 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2535120965 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BJ RICE (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792779835 |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-3537 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| 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 |
| Street Address |
7001 BRIDGEPORT WAY WEST |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003315417 | Cvs Aoc Corporation | Technician/Technologist | 5505 Carson St # 8878, Lakewood, CA 90713-3004 | 2018-02-12 |
| 1437665783 | Cvs Aoc Corporation | Technician/Technologist | 4909 Paramount Blvd # 5014, Lakewood, CA 90712-2903 | 2017-12-22 |
| 1427588011 | National Vision, Inc. | Technician/Technologist | 4429 Candlewood St, Lakewood, CA 90712-1736 | 2017-06-15 |
| 1417309535 | Lawrence Klapper | Technician/Technologist | 398 Clifton Ave, Lakewood, NJ 08701-3269 | 2016-07-13 |
| 1508231044 | Tae H Bae | Technician/Technologist | 8718 S Tacoma Way Ste C, Lakewood, WA 98499-4597 | 2015-12-09 |
| 1306247614 | Jacob Klein | Technician/Technologist | 1703 Clifton Ave, Lakewood, NJ 08701-1202 | 2014-09-07 |
| 1003237835 | Jennifer H Truong | Technician/Technologist | 11421 Carson St Ste D, Lakewood, CA 90715-2500 | 2013-12-20 |
| 1649502956 | Jeffrey Abramowitz | Technician/Technologist | 222 River Ave, Lakewood, NJ 08701-4807 | 2010-02-11 |
| 1548401763 | Esther M Blumenkrantz | Technician/Technologist | 30 Gefen Dr, Lakewood, NJ 08701-3596 | 2009-03-18 |
| 1528253358 | Robert Charles Michnoff | Technician/Technologist | 6 West Spruce Street, Vision Eyewear, Lakewood, NJ 08701-5007 | 2007-09-14 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on WAL-MART STORES, INC..
| 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.