WAL-MART STORES EAST, LP (NPI# 1649354804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649354804 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2047 |
| Practice Address |
1573 Main St Palmyra ME 04965-3236 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2073682448 |
| Enumeration Date | 2006-10-24 |
| 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 30-2047 | 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 |
1573 MAIN ST |
| City | PALMYRA |
| State | ME |
| Zip Code | 04965-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902823271 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1573 Main St, Palmyra, ME 04965-3236 | 2006-07-16 |
| 1487140760 | Ryan C Frost | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-10 |
| 1427544014 | Lance Carter Richmond Jr. | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-06 |
| 1295221893 | Thomas Manley Gekeler | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-06 |
| 1265748719 | Sebasticook Valley Health Convenient Care LLC | Clinic/Center | 1573 Main St, Palmyra, ME 04965-3236 | 2010-08-23 |
| 1124333661 | Elizabeth Amalia Ross | Nurse Practitioner | 1573 Main St, Palmyra, ME 04965-3236 | 2010-08-09 |
| 1568780823 | Sebasticook Valley Family Practice Association | Clinic/Center | 1573 Main St, Palmyra, ME 04965-3236 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205268299 | Miranda J Doherty | Chiropractor | 43a Oxbow Rd, Palmyra, ME 04965 | 2013-08-01 |
| 1821144775 | Gena M Tripp | Case Management | 19 Marian Drive, Palmyra, ME 04965 | 2007-01-25 |
| 1083166680 | C.a.r.e. Services | Durable Medical Equipment & Medical Supplies | 1448 Main St, Palmyra, ME 04965-3238 | 2016-10-30 |
| 1730538315 | Susan Mccaw | Community/Behavioral Health | 55 Spring Hill Rd, Palmyra, ME 04965-3625 | 2016-06-06 |
| 1013310630 | Dragonfly Academy LLC | Early Intervention Provider Agency | 4 Madawaska Rd, Palmyra, ME 04965-4032 | 2014-09-28 |
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053493528 | Wal-mart Stores East, Lp | Technician/Technologist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619530524 | Christopher Morgan Wheaton | Technician/Technologist | 93 Washington Ave Unit 2, Portland, ME 04101-2618 | 2019-04-16 |
| 1760856504 | Usv Optical Inc. | Technician/Technologist | 164 Longview Dr, Bangor, ME 04401-3631 | 2015-11-17 |
| 1265759773 | Camkay | Technician/Technologist | 336 Mthope Ave, Bangor, ME 04401 | 2010-04-23 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1346485240 | Gilbert A Poliquin | Technician/Technologist | 50 Lisbon St, Lewiston, ME 04240-7116 | 2008-12-05 |
| 1528216751 | Maine Professional Opticians and Hearing Aid Center | Technician/Technologist | 226 Western Ave, Augusta, ME 04330-6126 | 2008-08-29 |
| 1730370420 | John Stanton Macinnes | Technician/Technologist | 885 Union Street, Suite 140, Bangor, ME 04401-3082 | 2007-08-07 |
| 1053455782 | Keeoli Corp Dba Vipeyes | Technician/Technologist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2007-02-16 |
| 1427191907 | Falmouth Vision Center | Technician/Technologist | 204 Us Route One, Falmouth, ME 04105 | 2007-02-15 |
| 1386794196 | Village Optical,inc | Technician/Technologist | 464 Main St Centre, Damariscotta, ME 04543 | 2007-01-12 |
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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.