WAL-MART STORES EAST, LP (NPI# 1710090543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710090543 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2350 |
| Practice Address |
485 Airport Hwy Wauseon OH 43567-9791 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 4193378900 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY J BOYD (CONTRACT COORDINATOR) |
| Authorized Official Telephone | 4792771359 |
| 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 30-2350 | 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 |
485 AIRPORT HWY |
| City | WAUSEON |
| State | OH |
| Zip Code | 43567-9791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538186721 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 485 Airport Hwy, Wauseon, OH 43567-8709 | 2006-07-16 |
| 1083215545 | Alicia K Richardson | Pharmacist | 485 Airport Hwy, Wauseon, OH 43567-8709 | 2020-11-02 |
| 1679173207 | Angela Marie Gable | Pharmacist | 485 Airport Hwy, Wauseon, OH 43567-8709 | 2020-11-01 |
| 1558961706 | Stephanie Sostakowski | Pharmacist | 485 Airport Hwy, Wauseon, OH 43567-8709 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302619 | Lisa Michelle Aschliman | Physical Therapy Assistant | 138 E Elm St. Fulton Co Health Center Rehab, Wauseon, OH 43567 | 2017-08-22 |
| 1245755164 | Kimberly Sue Fall | Home Health | 847 Wood Street, Wauseon, OH 43567 | 2017-08-11 |
| 1639580160 | Julie Ann Leatherman | Social Worker | 241 Philomena Dr, Wauseon, OH 43567 | 2014-05-19 |
| 1194054916 | Jessica Sue Demaline | Social Worker | 7320 State Hughway 108, Suite A, Wauseon, OH 43567 | 2009-12-08 |
| 1659503043 | Crissi L Stuckey | Physical Therapist | 303 West Leggett Street, Wauseon, OH 43567 | 2009-08-18 |
| 1912194614 | Family Services of Nw Ohio Suite 414 Toledo, Ohio 43604 | Community/Behavioral Health | 7320 State Hwy 108, Wauseon, OH 43567 | 2007-09-27 |
| 1750508768 | Renal Treatment Centers Illinois Inc | Clinic/Center | 721 S Shoop Ave, Wauseon, OH 43567 | 2007-04-19 |
| 1922155563 | Sema Justus Fofung | Specialist | 735 South Shoop Avenue, Suite 3, Wauseon, OH 43567 | 2007-01-05 |
| 1679679948 | Jessye Hartman | Physical Therapist | 138 E Elm St, Wauseon, OH 43567 | 2006-09-15 |
| 1336155837 | James A Williams | Chiropractor | 1485 N Shoop Ave, Wauseon, OH 43567 | 2006-08-01 |
| Find all providers in zip 43567 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770691982 | Nancy A Martinez | Technician/Technologist | 1115 N Shoop Ave Ste 4, Wauseon, OH 43567-1857 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174133466 | Robert James Hessler | Technician/Technologist | 21 S Ridge Dr, Amelia, OH 45102-2358 | 2020-08-03 |
| 1265068605 | Cathy Sue Bigley | Technician/Technologist | 41 Pineview Dr, Oregon, OH 43616-2636 | 2020-03-17 |
| 1003377045 | Erikka Hermiller | Technician/Technologist | 517 Monroe Ave, Findlay, OH 45840-3739 | 2019-03-30 |
| 1215496989 | National Vision Inc | Technician/Technologist | 2227 State Route 256 Unit A, Reynoldsburg, OH 43068-9326 | 2019-03-13 |
| 1033675988 | Racquel Montijo Montijo | Technician/Technologist | 7410 Jameson Rd, Parma, OH 44129-2816 | 2019-02-15 |
| 1053885244 | National Vision Inc | Technician/Technologist | 4172 Buckeye Pkwy, Grove City, OH 43123-8175 | 2019-01-22 |
| 1093233306 | Robin P Wiley | Technician/Technologist | 3643 Countryside Ln, Avon, OH 44011-2623 | 2017-09-07 |
| 1851827596 | Linda Fitzgerald | Technician/Technologist | 777 Presidential Dr, Youngstown, OH 44512-5714 | 2017-05-01 |
| 1477091296 | Rachelle Nieves | Technician/Technologist | 30426 Euclid Ave, Wickliffe, OH 44092-1578 | 2017-02-01 |
| 1992255038 | John E Stuckey | Technician/Technologist | 104 S Miami St, West Milton, OH 45383-1551 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAL-MART STORES 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.