WAL-MART STORES, INC


Address: 1530 W. Springfield Rd., Taylorville, IL 62568
Phone: 2172877219

WAL-MART STORES, INC (NPI# 1790868917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790868917
Entity Type Organization
Organization Name WAL-MART STORES, INC
Other Organization Name VISION CENTER 30-0343
Practice Address 1530 W. Springfield Rd.
Taylorville
IL 62568
Mailing Address 702 Sw 8th St.
Bentonville
AR 72716-0235
Practice Telephone 2172877219
Enumeration Date 2006-10-23
Last Update Date 2020-08-22
Authorized Official Name NICOLE D GENTILE (NPI COORDINATOR)
Authorized Official Telephone 3167885580
Is Organization Subpart N

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Vision Center 30-0343 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295190510 Wal-mart Stores, Inc Durable Medical Equipment & Medical Supplies 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 2015-12-31
1871961185 Wal-mart Stores, Inc Technician/Technologist 3001 E Highway 7, Montevideo, MN 56265-4556 2015-09-03
1821407909 Wal-mart Stores, Inc Technician/Technologist 19191 N Kelsey St, Monroe, WA 98272-1459 2014-08-04
1396155701 Wal-mart Stores, Inc Technician/Technologist 21320 Sw Langer Farm, Sherwood, OR 97140 2014-05-07
1154755197 Wal-mart Stores, Inc Durable Medical Equipment & Medical Supplies 36318 Memory Lane, Polson, MT 59860 2013-08-27
1235578907 Wal-mart Stores, Inc Technician/Technologist 1000 Old Red Trl Ne, Mandan, ND 58554-1591 2013-06-17
1821435520 Wal-mart Stores, Inc Technician/Technologist 530 Woollomes Ave, Delano, CA 93215 2013-06-04
1093055147 Wal-mart Stores, Inc Durable Medical Equipment & Medical Supplies 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 2013-02-27
1639350564 Wal-mart Stores, Inc Eyewear Supplier (Equipment, not the service) 3031 1st St S, Willmar, MN 56201-4240 2007-11-20
1326229253 Wal-mart Stores, Inc Eyewear Supplier (Equipment, not the service) 1205 S Route 31, Crystal Lake, IL 60014 2007-11-20

Other Data Sources

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

Office Location

Street Address 1530 W. SPRINGFIELD RD.
City TAYLORVILLE
State IL
Zip Code 62568

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619481629 Kimberly Denae Washburn Social Worker 1100 Sandy Duncan Dr, Taylorville, IL 62568 2017-11-29
1043729841 Christian County Young Men's Christian Association Inc Health Educator 900 Mcadam Dr, Taylorville, IL 62568 2017-09-25
1326597014 Pamela A Napier Case Manager/Care Coordinator 610 S Webster St, Taylorville, IA 62568 2016-09-23
1619169364 Ronald Eugene Mizer Dentist 400 West Main Cross, Taylorville, IL 62568 2007-08-16
1881770816 Rosalina R. Gonzales Family Medicine Route 29 South, Taylorville, IL 62568 2006-10-31
1265514285 Dr Timothy Hutson Dentist Dentist 929 W Spresser St, Taylorville, IL 62568 2006-10-19
1336220565 Peggy Tell Counselor 730 North Pawnee, Taylorville, IL 62568 2006-10-17
1306946777 Gateway Rehabilitation Taylorville LLC Clinic/Center 301-305 S Webster, Taylorville, IL 62568 2006-09-25
1497779763 Richard Lee Zimmers Dentist 101 S Cherokee Street, Taylorville, IL 62568 2006-07-27
1265492649 John L Kain Chiropractor 320 Northwestern Ave, Taylorville, IL 62568 2006-03-28
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902445570 Kami Optical Corp Technician/Technologist 1163 E Ogden Ave Ste 701, Naperville, IL 60563-8535 2019-12-31
1750847281 National Vision Inc Technician/Technologist 750 S Rand Rd, Lake Zurich, IL 60047-2467 2019-02-20
1700364171 National Vision Inc Technician/Technologist 4068 North Milwaukee Avenue, Chicago, IL 60641 2018-07-30
1720571615 National Vision, Inc. Technician/Technologist 6931 Grand Ave Ste E2, Gurnee, IL 60031-1610 2018-06-14
1023528619 Direct Healthcare Solutions LLC Technician/Technologist 1520 Fringetree Ln, Woodridge, IL 60517-4653 2017-10-09
1184140014 Efp Opticians On Dearborn, LLC Technician/Technologist 1205 N Dearborn St, Chicago, IL 60610-2213 2017-08-22
1235668245 Vision Man Technician/Technologist 8335 Grand Ave, River Grove, IL 60171-1434 2017-06-05
1033662200 National Vision, Inc. Technician/Technologist 348 W Army Trail Rd, Suite 130, Bloomingdale, IL 60108-5608 2016-07-25
1780039115 Wal-mart Stores, Inc. Technician/Technologist 365 Lake Marian Road, Carpentersville, IL 60110 2016-05-04
1346695392 National Vision, Inc. Technician/Technologist 714 S Randall Rd, Algonquin, IL 60102-5915 2016-04-27
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Competitor

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City TAYLORVILLE
Zip Code 62568

Improve Information

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Dataset Information

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.

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