WAL-MART STORE EAST, LP (NPI# 1699279430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699279430 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORE EAST, LP |
| Other Organization Name | WALMART VISION CENTER 30-2871 |
| Practice Address |
2501 Route 130 S Cinnaminson NJ 08077-3075 |
| Mailing Address |
702 Sw 8th St # Ms 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 4792779170 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792779170 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| 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 |
|---|---|
| Walmart Vision Center 30-2871 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1093870909 | Wal-mart Store East, Lp | Technician/Technologist | 1330 W. Clemmnonsville Rd., Winston Salem, NC 27127 | 2006-12-22 |
| 1295241420 | Wal-mart Store East, Lp | Eyewear Supplier (Equipment, not the service) | 1226 E Dixie Dr, Asheboro, NC 27203-8856 | 2017-12-26 |
| 1366531972 | Wal-mart Store East, Lp | Technician/Technologist | 11012 N Williams St, Dunnellon, FL 34432-8319 | 2006-10-12 |
| 1205928769 | Wal-mart Store East, Lp | Technician/Technologist | 2144 W Indiantown Rd, Jupiter, FL 33458-5810 | 2006-09-29 |
| Street Address |
2501 ROUTE 130 S |
| City | CINNAMINSON |
| State | NJ |
| Zip Code | 08077-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245257377 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2501 Route 130 S, Cinnaminson, NJ 08077-3075 | 2006-07-16 |
| 1184224248 | Beth Laszczyk | Pharmacist | 2501 Route 130 S, Cinnaminson, NJ 08077-3075 | 2020-10-28 |
| 1225134554 | Dr.sandra T.west, LLC | Optometrist | 2501 Route 130 S, Cinnaminson, NJ 08077-3075 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260537 | Brendan Hastings | Physician Assistant | 1210 Us-130, Cinnaminson, NJ 08077 | 2018-09-27 |
| 1942789037 | Professional Sport & Spine LLC | Chiropractor | 101 Route 130 S- Presidential Center, Washington Bldg Suite 10, Cinnaminson, NJ 08077 | 2018-08-09 |
| 1932635356 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Wayne Dr, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1215463633 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1103 Thomas Ave, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1497281109 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 New Albany Rd, Cinnaminson, NJ 08077 | 2017-05-02 |
| 1285169961 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2810 Hunterdon Dr, Cinnaminson, NJ 08077 | 2017-05-01 |
| 1841725470 | Jodi Laughlin | Nurse Practitioner | 400 Highway, Riverton, NJ 08077 | 2017-04-20 |
| 1306383161 | Marwa Yacout | Pharmacist | 1210 Rt.130 North, Cinnaminson, NJ 08077 | 2017-01-31 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| 1043629710 | Sharea Farmer | Social Worker | 101 Route 130, Grant Building, Suite 408, Cinnaminson, NJ 08077 | 2014-08-07 |
| Find all providers in zip 08077 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548414758 | America's Best Contacts & Eyeglasses | Technician/Technologist | 141 Route 130, Ste. T, Cinnaminson, NJ 08077 | 2008-11-14 |
| 1598869695 | Sam's Club Optical | Technician/Technologist | 2521 Route 130 S, Cinnaminson, NJ 08077-3018 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1104442375 | Nishaya Mcnair | Technician/Technologist | 31 W Orchard St Apt 2, Somerville, NJ 08876-1654 | 2020-06-23 |
| 1164980819 | National Vision Inc | Technician/Technologist | 306 Route 9 N, Woodbridge, NJ 07095-1004 | 2019-03-12 |
| 1427520329 | National Vision Inc | Technician/Technologist | 310 State Route 36 Ste 804, West Long Branch, NJ 07764-1027 | 2018-12-18 |
| 1629545983 | Mark Pawloski | Technician/Technologist | 453 New Brunswick Ave, Fords, NJ 08863-2134 | 2018-10-25 |
| 1023584091 | Adam Louis Johnson | Technician/Technologist | 399 N Main St Ste C, Manahawkin, NJ 08050-3069 | 2018-10-17 |
| 1699272591 | National Vision, Inc. | Technician/Technologist | 3077 Route 46, Parsippany, NJ 07054-1233 | 2018-04-09 |
| 1346747227 | National Vision, Inc. | Technician/Technologist | 134 Kingsland Rd Ste 3, Clifton, NJ 07014-1915 | 2018-04-09 |
| 1396241139 | National Vision, Inc. | Technician/Technologist | 200 Passaic Street, Garfield, NJ 07026 | 2018-04-02 |
| 1851809651 | National Vision, Inc. | Technician/Technologist | 2101 State Route 35, Holmdel, NJ 07733-1085 | 2018-01-15 |
| Find all providers with the same taxonomy | ||||
| City | CINNAMINSON |
| Zip Code | 08077 |
Please comment or provide details below to improve the information on WAL-MART STORE EAST, LP.
| 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.