WAL-MART STORES EAST, LP (NPI# 1760572382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760572382 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2811 |
| Practice Address |
4375 Lexington Rd Athens GA 30605-2525 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 7063553966 |
| Enumeration Date | 2006-10-13 |
| 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 30-2811 | 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 |
4375 LEXINGTON RD |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740207083 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4375 Lexington Rd, Athens, GA 30605-2525 | 2006-07-16 |
| 1417557083 | Sorour Khaleghian | Pharmacist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2020-10-31 |
| 1700486370 | Judson Todd Pierce | Pharmacist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2020-10-31 |
| 1336749019 | Crystal Ana Nguyen | Pharmacist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2020-10-30 |
| 1245375294 | Andrea Weir Harron | Optometrist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2007-02-20 |
| 1124133715 | Harry I. Goldben | Optometrist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659641579 | Your Eyes Optical | Technician/Technologist | 1260 Us Highway 72 E, Suite C, Athens, AL 35611-5136 | 2012-01-09 |
| 1710105416 | Pamela Edmondson Correll | Technician/Technologist | 2440 West Broad Street, Suite 14, Athens, GA 30606 | 2007-04-20 |
| 1386660942 | East Texas Eye Care Associates, Pllc | Technician/Technologist | 608 Maryland Dr, Athens, TX 75751-3332 | 2006-07-15 |
| 1326018458 | Philip Friedland | Technician/Technologist | 3700 Atlanta Hwy, Athens, GA 30606-7201 | 2006-01-23 |
| 1457582306 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1850 Epps Bridge Pkwy Ste 325, Athens, GA 30606-6186 | 2009-07-27 |
| 1215188305 | Visual Eyes | Technician/Technologist | 2416 Congress Pkwy S, Athens, TN 37303-2822 | 2008-10-07 |
| 1871757971 | Logan Opticians Inc | Technician/Technologist | 740 Prince Avenue, Building 15, Athens, GA 30606 | 2008-07-17 |
| 1598984627 | John C Reed | Technician/Technologist | 957 Baxter St, Athens, GA 30606-3754 | 2007-04-25 |
| 1285717306 | Wal-mart Stores East, Lp | Technician/Technologist | 1815 Decatur Pike, Athens, TN 37303-4932 | 2006-10-23 |
| 1497837520 | Wal-mart Stores East, Lp | Technician/Technologist | 1911 Epps Bridge Pkwy, Athens, GA 30606-6130 | 2006-10-19 |
| Find all providers in ATHENS | ||||
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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.