WAL-MART STORES EAST, LP (NPI# 1689043176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689043176 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-0204 |
| Practice Address |
1500 Us Highway 62 W Princeton KY 42445-6106 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4792048550 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Walmart Vision Center 30-0204 | 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 |
1500 US HIGHWAY 62 W |
| City | PRINCETON |
| State | KY |
| Zip Code | 42445-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722219 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1500 Us Highway 62 W, Princeton, KY 42445-6106 | 2006-07-16 |
| 1801416714 | Lara Beth Wynn | Pharmacist | 1500 Us Highway 62 W, Princeton, KY 42445-6106 | 2020-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451962 | Margaret O Cartwright | Speech-Language Pathologist | 414 Stephens Rd., Princeton, KY 42445 | 2020-03-11 |
| 1467878512 | Genesis Health Care | Skilled Nursing Facility | 11524 Dawson Road, Princeton, KY 42445 | 2014-03-13 |
| 1639353741 | Princeton Family Care, Pllc | Nurse Practitioner | 323 C South Jefferson St, Princeton, KY 42445 | 2007-12-26 |
| 1285720979 | Vicki Jean Simms | Pharmacist | 550 U.S. Hwy 62 West, Princeton, KY 42445 | 2006-10-04 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1285648824 | Sylvia Lynn Mccarty | Social Worker | 1350 Hwy 62 West, Princeton, KY 42445 | 2006-07-28 |
| 1497157341 | App of Kentucky Ed, Pllc | Physician Assistant | 100 Medical Center Dr, Princeton, KY 42445 | 2014-09-23 |
| 1902238496 | Luis Felipe Miranda | Dentist | 406 W Washington St, Princeton, KY 42445 | 2013-08-06 |
| 1932309697 | Shandi Lynne Damron | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445 | 2007-07-20 |
| 1851486708 | Caldwell County Hospital Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Princeton, KY 42445 | 2006-10-04 |
| Find all providers in zip 42445 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225194475 | Thomas L Nunnelee Inc | Eyewear Supplier (Equipment, not the service) | 900 Rum River Dr South, Suite 103, Princeton, MN 55371 | 2006-12-29 |
| 1558309443 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 101 Nassau Park Blvd, Princeton, NJ 08540-5918 | 2006-06-03 |
| 1881149227 | Princeton Eye Group, Pa | Eyewear Supplier (Equipment, not the service) | 419 N Harrison St, Princeton, NJ 08540-3521 | 2016-08-15 |
| 1477722171 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2700 W Broadway St, Princeton, IN 47670-9418 | 2008-02-27 |
| 1194879205 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3535 Us Highway 1, Princeton, NJ 08540 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399727 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7900 Shelbyville Rd Ste B15, Louisville, KY 40222-5461 | 2020-02-26 |
| 1154961167 | Emx Eye Care PC | Eyewear Supplier (Equipment, not the service) | 410 Southtown Blvd Ste 4, Owensboro, KY 42303-7757 | 2020-01-08 |
| 1194215764 | Opticouture LLC | Eyewear Supplier (Equipment, not the service) | 959 Vine Street, Louisville, KY 40204-2071 | 2018-05-18 |
| 1477070654 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 111 Summit At Fritz Farm, Lexington, KY 40517-8300 | 2017-08-28 |
| 1568997112 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3301 Nicholasville Rd, Lexington, KY 40503-3603 | 2017-04-20 |
| 1083160915 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 7727 Mall Rd, Ste. B, Florence, KY 41042-1405 | 2016-08-31 |
| 1649626870 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 2007 S Highway 27, Suite A, Somerset, KY 42501-0000 | 2016-05-06 |
| 1740644947 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 450 Connector Rd, Georgetown, KY 40324-9729 | 2016-04-13 |
| 1477924884 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 4135 Ft Campbell Boulevard, Hopkinsville, KY 42240-8706 | 2015-10-12 |
| 1245621382 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1500 Fitzgerald Ct, Lexington, KY 40509-8307 | 2015-02-11 |
| 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.