WALMART STORES EAST, LP (NPI# 1720161292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720161292 |
| Entity Type | Organization |
| Organization Name | WALMART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0824 |
| Practice Address |
8000 Academy Rd Ne Albuquerque NM 87111-1159 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5058565274 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (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 30-0824 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770667099 | Walmart Stores East, Lp | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-10-24 |
| Street Address |
8000 ACADEMY RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528085669 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8000 Academy Rd Ne, Albuquerque, NM 87111-1159 | 2006-07-16 |
| 1124437850 | Maria Heard | Pharmacist | 8000 Academy Rd Ne, Albuquerque, NM 87111-1159 | 2014-08-06 |
| 1114334588 | Tram Romero | Pharmacist | 8000 Academy Rd Ne, Albuquerque, NM 87111-1159 | 2014-07-17 |
| 1568879039 | Tammy Satches-lopez | Pharmacist | 8000 Academy Rd Ne, Albuquerque, NM 87111-1159 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056186 | Marie Angela Archibeque | Technician/Technologist | 2910 San Mateo Blvd Ne Ste 6, Albuquerque, NM 87110-3187 | 2017-07-23 |
| 1548541204 | Roberta Jean Montoya I | Technician/Technologist | 3905 Isleta Blvd Sw, Albuquerque, NM 87105-6130 | 2011-09-07 |
| 1629396015 | Lorraine Gomez | Technician/Technologist | 4201 Central Ave Ne, #b2, Albuquerque, NM 87105-1630 | 2010-05-10 |
| 1164505087 | Wal-mart Stores East, Lp | Technician/Technologist | 10224 Coors Byp Nw, Albuquerque, NM 87114-4398 | 2006-10-23 |
| 1114000452 | Wal-mart Stores East, Lp | Technician/Technologist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2006-10-23 |
| 1891883476 | Sam's Club Optical | Technician/Technologist | 1421 N. Renaissance Blvd. Ne, Albuquerque, NM 87101 | 2006-10-10 |
| 1982922670 | Gomez Eyewear, LLC | Technician/Technologist | 10701 Montgomery Blvd Ne, Suite L, Albuquerque, NM 87111-3816 | 2010-05-05 |
| 1588793269 | Rita J Graham | Technician/Technologist | 4306 Lomas Blvd Ne, Albuquerque, NM 87110-7751 | 2007-03-05 |
| 1104909456 | Wal-mart Stores East, Lp | Technician/Technologist | 3500 Coors Blvd Sw, Albuquerque, NM 87121-5274 | 2006-10-23 |
| 1821180753 | Sam's Club Optical | Technician/Technologist | 300 Eubank Blvd Ne, Albuquerque, NM 87123-2755 | 2006-09-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on WALMART 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.