WAL-MART STORES EAST LP (NPI# 1699083295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699083295 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | VISION CENTER 30-1769 |
| Practice Address |
20 Industrial Dr Du Bois PA 15801 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0445 |
| Practice Telephone | 8143755000 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| 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 |
|---|---|
| Vision Center 30-1769 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
20 INDUSTRIAL DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738985 | Tom De Pue | Pharmacist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2005-08-29 |
| 1831790484 | Anthony Deloia | Pharmacist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2020-11-02 |
| 1891325460 | Heather Christine Mawn | Pharmacist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2020-01-22 |
| 1700297058 | Fatula Family Eye Care Pllc | Optometrist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2014-05-08 |
| 1730498452 | Dubois Regional Medical Group, PC | Family Medicine | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2010-09-29 |
| 1245481787 | Hillary A Marshall | Physician Assistant | 20 Industrial Dr, Acute Care Clinic, Du Bois, PA 15801-3842 | 2008-10-02 |
| 1215158357 | William G Brown | Physician Assistant | 20 Industrial Dr, Acute Care Clinic, Du Bois, PA 15801-3842 | 2007-05-02 |
| 1881786432 | Thomas J. Herzing | Physician Assistant | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2006-09-29 |
| 1710092499 | Daniel Remo Fatula | Optometrist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2006-08-20 |
| 1861419921 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1538313291 | Lens-tech, Inc. | Eyewear Supplier (Equipment, not the service) | 41 S Franklin St, Du Bois, PA 15801-1801 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636053 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 540 Gateway Ave, Chambersburg, PA 17201-8107 | 2020-10-14 |
| 1568060416 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 C Mill Rd, Oaks, PA 19456 | 2020-10-13 |
| 1265030233 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 159 Pocono Cmns, Stroudsburg, PA 18360-8703 | 2020-10-13 |
| 1225636293 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 616 N West End Blvd, Quakertown, PA 18951-4100 | 2020-10-13 |
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376140582 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Easton Rd, Warrington, PA 18976-2514 | 2020-10-01 |
| 1689281735 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Alan Wood Rd, Conshohocken, PA 19428-1139 | 2020-09-23 |
| 1770199887 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2250 York Crossing Dr, York, PA 17408-4700 | 2020-09-23 |
| 1639785967 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 550 Madison Ave, Reading, PA 19605-2412 | 2020-09-22 |
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 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.