WAL-MART STORES, INC. (NPI# 1790840692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790840692 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WAL-MART VISION CENTER 30-3350 |
| Practice Address |
5198 Boulder Hwy Las Vegas NV 89122 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 7024342040 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BJ RICE (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792779835 |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-3350 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
5198 BOULDER HWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597396 | Adebola Durosawo | Pharmacist | 5198 Boulder Hwy, Las Vegas, NV 89122-6002 | 2020-10-26 |
| 1780808105 | Peter Park | Optometrist | 5198 Boulder Hwy, Las Vegas, NV 89122 | 2007-04-13 |
| 1235280215 | Kerry's Medical Inc | Durable Medical Equipment & Medical Supplies | 5198 Boulder Hwy, Suite #5, Las Vegas, NV 89122-6002 | 2007-01-16 |
| 1427113497 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5198 Boulder Hwy, Las Vegas, NV 89122-6002 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425523 | Dezirae Wilson | Technician | 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 | 2020-04-14 |
| 1407312366 | More Than Words LLC | Speech-Language Pathologist | 3430 Blue Ash Lane, Las Vegas, NV 89122 | 2019-02-15 |
| 1588130751 | Leslie Totress | Case Manager/Care Coordinator | 6368 Foxlyn Ave, Las Vegas, NV 89122 | 2018-10-15 |
| 1780100511 | Easy Living Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 5069 Sun Valley Dr, Las Vegas, NV 89122 | 2017-08-14 |
| 1508381435 | Louie Taquiqui | Community/Behavioral Health | 3566 Tundra Swan St, Las Vegas, NE 89122 | 2017-08-11 |
| 1972032233 | Marilan Sanchez | Rehabilitation Practitioner | 5210 Emelita St, Las Vegas, NV 89122 | 2017-06-08 |
| 1023479599 | Tia Collins | Social Worker | 5412 Boulder Highway, Las Vegas, NV 89122 | 2016-03-11 |
| 1548673056 | Saba Chatoor | Counselor | 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 | 2014-06-03 |
| 1811328685 | Derrell Williams | Counselor | 3326 Wasatch Cedars St., Las Vegas, NV 89122 | 2013-12-04 |
| 1225466709 | The Lighthouse LLC | Community/Behavioral Health | 5710 E Tropicana Ave #2212, Las Vegas, NEVADA 89122 | 2013-10-22 |
| Find all providers in zip 89122 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689928608 | Lovejeet Toor | Technician/Technologist | 3230 W Hacienda Ave Ste 301, Las Vegas, NV 89118-1717 | 2012-10-29 |
| 1063568103 | Gem Optical | Technician/Technologist | 3300 E Flamingo Rd, Suite 20, Las Vegas, NV 89121-4398 | 2007-01-25 |
| 1497824593 | Nevada Optical and Publishing Enterprises for Professional LLC | Technician/Technologist | 2400 W Charleston Blvd Ste D, Las Vegas, NV 89102-2152 | 2006-11-06 |
| 1891877437 | Personal Eyes Inc. | Technician/Technologist | 7260 W Lake Mead Blvd Ste 4, Las Vegas, NV 89128-8357 | 2006-10-20 |
| 1821187311 | Wal-mart Stores, Inc | Technician/Technologist | 3075 E Tropicana Ave, Las Vegas, NV 89121-7363 | 2006-10-12 |
| 1548353717 | Wal-mart Stores, Inc | Technician/Technologist | 3625 S Rainbow Blvd, Las Vegas, NV 89103-1064 | 2006-10-02 |
| 1972604080 | Pearle Vision Inc | Technician/Technologist | 3993 S Maryland Pkwy, Las Vegas, NV 89119-7558 | 2006-09-25 |
| 1992806004 | Pearle Vision Inc | Technician/Technologist | 506 S Decatur Blvd Ste A, Las Vegas, NV 89107-3941 | 2006-09-25 |
| 1881192490 | Veinte Veinte Las Vegas LLC | Technician/Technologist | 556 N Eastern Ave Ste A, Las Vegas, NV 89101-3453 | 2018-01-29 |
| 1699295550 | Wal Mart Stores, Inc. | Technician/Technologist | 6973 Blue Diamond Rd, Las Vegas, NV 89178 | 2017-06-22 |
| Find all providers in LAS VEGAS | ||||
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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.