WAL-MART STORES EAST, LP (NPI# 1710079678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710079678 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-5250 |
| Practice Address |
904 Cypress Pkwy Kissimmee FL 34759-3456 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 4078701903 |
| Enumeration Date | 2006-09-29 |
| 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 30-5250 | 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 |
904 CYPRESS PKWY |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34759-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652120 | Rajeshkumar J Kaneria | Pharmacist | 904 Cypress Pkwy, Kissimmee, FL 34759-3456 | 2019-10-31 |
| 1033753124 | Stephen Rojas | Pharmacist | 904 Cypress Pkwy, Kissimmee, FL 34759-3456 | 2019-10-31 |
| 1174762991 | Humera Siddiqui, O.d., P.a. | Optometrist | 904 Cypress Pkwy, Kissimmee, FL 34759-3456 | 2009-02-18 |
| 1265604847 | Humera Siddiqui | Optometrist | 904 Cypress Pkwy, Walmart Vision Center, Kissimmee, FL 34759-3456 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671767 | Touched By Harmony Home Care, LLC | Chore Provider | 1152 Hudson Harbor Ln, Kissimmee, FL 34759 | 2020-05-21 |
| 1588132211 | Enante Napoleon | Clinic/Center | 1406 Swan Court, Kissimmee, FL 34759 | 2018-11-12 |
| 1366938383 | Diana Esther Baker Velez | Case Manager/Care Coordinator | 2202 Rio Grande Canyon Loop, Kissimmee, FL 34759 | 2018-07-02 |
| 1558863530 | Cladyana Martinez Couvertier | Specialist/Technologist | 316 Edgewood Ct, Kissimmee, FL 34759 | 2018-03-06 |
| 1609397330 | Michelle Echevarria | Counselor | 1413 Kissimme Dr, Kissimmee, FL 34759 | 2017-07-03 |
| 1326599549 | Sheila Ramos | Social Worker | 335 Drum Court, Kissimmee, FL 34759 | 2016-10-24 |
| 1790155976 | Yajaira Rivera | Counselor | 1908 Huron Terrace, Poinciana, FL 34759 | 2015-10-01 |
| 1508280371 | Teamwork International Corp | Family Medicine | 1082 Cypress Parkway, Kissimmee, FL 34759 | 2014-02-13 |
| 1922433077 | Pearl Ann Arrita Shiwram | Technician, Pathology | 703 Antelope Way, Kissimmee, FL 34759 | 2013-09-09 |
| 1609215912 | Nosky P.a. | Dermatology | 512 Cypress Parkway, Poinciana, FL 34759 | 2013-06-19 |
| Find all providers in zip 34759 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1518347749 | National Vision, Inc. | Technician/Technologist | 755 W Osceola Pkwy, Kissimmee, FL 34741-7565 | 2015-06-03 |
| 1184795189 | Nikita Holdings Corp. | Technician/Technologist | 1628 Pleasant Hill Rd, Kissimmee, FL 34746-3901 | 2006-11-13 |
| 1588749428 | Wal-mart Stores East, Lp | Technician/Technologist | 1471 E Osceola Pkwy, Kissimmee, FL 34744-1604 | 2006-10-26 |
| 1265521868 | Wal-mart Stores East, Lp | Technician/Technologist | 4444 W Vine St, Kissimmee, FL 34746-5315 | 2006-10-12 |
| 1649363508 | Wal-mart Stores East, Lp | Technician/Technologist | 3250 Vineland Rd, Kissimmee, FL 34746-4893 | 2006-10-02 |
| 1871691279 | Sam's Club Optical | Technician/Technologist | 4763 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-5332 | 2006-09-20 |
| 1366493173 | Medical Eye Associates | Technician/Technologist | 921 N Main St, Kissimmee, FL 34744-4570 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
| 1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
| 1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| 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.