WAL-MART STORES EAST, LP (NPI# 1780764134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780764134 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-3247 |
| Practice Address |
1819 E Geneva St Delavan WI 53115-2037 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 2627401815 |
| Enumeration Date | 2006-10-17 |
| 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 30-3247 | 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 |
1819 E GENEVA ST |
| City | DELAVAN |
| State | WI |
| Zip Code | 53115-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790702868 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1819 E Geneva St, Delavan, WI 53115-2037 | 2006-07-16 |
| 1144829383 | Nicholas Matthew Franz | Pharmacist | 1819 E Geneva St, Delavan, WI 53115-2037 | 2020-10-19 |
| 1790383743 | Radley Nathan Kamps | Pharmacist | 1819 E Geneva St, Delavan, WI 53115-2037 | 2020-10-13 |
| 1063746055 | Nicole Lynn Vendegna | Optometrist | 1819 E Geneva St, Delavan, WI 53115-2037 | 2009-09-24 |
| 1508967282 | Ronald Wayne Henson | Optometrist | 1819 E Geneva St, Delavan, WI 53115-2037 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049486 | Careatc - Andes Candies | Clinic/Center | 1400 E. Eisconsin, Delavan, WI 53115 | 2016-09-01 |
| 1407255797 | Jill Catherine Adams | Contractor | N44556 Dam Rd, Delavan, WI 53115 | 2014-08-22 |
| 1487930350 | Sheryl Jacobson | Pharmacist | 445 S Wright Street, Delavan, WI 53115 | 2011-10-24 |
| 1407152556 | Cannula Ear Cozy LLC | Durable Medical Equipment & Medical Supplies | N2444 Doris St., Delavan, WI 53115 | 2011-02-08 |
| 1710172630 | Timothy J Rasmussen LLC | Chiropractor | 1407 Racine St, Suite D, Delavan, WI 53115 | 2007-09-13 |
| 1407065873 | Debora Lee Nevermann | Physical Therapist | 824 B East Geneva Street, Delavan, WI 53115 | 2007-05-22 |
| 1740493006 | Karen St John | Physical Therapy Assistant | 905 East Geneva Street, Delavan, WI 53115 | 2007-05-07 |
| 1043430390 | Kristin M Grenier | Physical Therapy Assistant | 824 B East Geneva St, Delavan, WI 53115 | 2007-04-27 |
| 1891852034 | Maria Teresa Galgano Chadha | Dentist | 608 E Walworth Ave, Delavan, WI 53115 | 2007-01-03 |
| 1942396718 | Clifford Robert Poplar | Internal Medicine | 915 Geneva Street, Delavan, WI 53115 | 2006-10-05 |
| Find all providers in zip 53115 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1326518002 | Robert Bailen | Technician/Technologist | 207 2nd Ave W, Ashland, WI 54806-1605 | 2018-11-26 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1568835544 | Jolanda Burnett | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449-1550 | 2015-11-12 |
| 1467865857 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9074 N Green Bay Rd, Brown Deer, WI 53209-1205 | 2014-06-04 |
| 1376882613 | Design Vision, Inc. | Technician/Technologist | 8720 W North Ave, Wauwatosa, WI 53226-2724 | 2013-02-06 |
| 1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1285953794 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8661 S Howell Ave Ste 200, Oak Creek, WI 53154-2919 | 2010-05-24 |
| 1053553453 | Lisa Cuda Mccarron | Technician/Technologist | 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336 | 2009-03-31 |
| 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.