WAL-MART STORES EAST, LP (NPI# 1790898054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790898054 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-1744 |
| Practice Address |
1902 Empire Blvd Webster NY 14580-1959 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 5857871370 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY J BOYD (CONTRACT COORDINATOR) |
| Authorized Official Telephone | 4792771359 |
| 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 30-1744 | 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 |
1902 EMPIRE BLVD |
| City | WEBSTER |
| State | NY |
| Zip Code | 14580-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356368591 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1902 Empire Blvd, Webster, NY 14580-1959 | 2006-07-16 |
| 1053633685 | Sandi Thide | Pharmacist | 1902 Empire Blvd, Webster, NY 14580-1959 | 2010-02-23 |
| 1265754063 | Murray A. Notebaert | Pharmacist | 1902 Empire Blvd, Webster, NY 14580-1959 | 2010-02-20 |
| 1265611784 | Jian-hua Fan | Pharmacist | 1902 Empire Blvd, Webster, NY 14580-1959 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1740813161 | National Vision Inc | Optometrist | 927 Hold Road, Suite 300, Webster, NY 14580 | 2020-02-13 |
| 1447808738 | Neva French | Technician | 1640 Lake Road, Webster, NY 14580 | 2019-08-29 |
| 1699329946 | Jillian Schifano Sweeney | Registered Nurse | 119 South Ave, Wcsd, Webster, NY 14580 | 2019-07-25 |
| 1699232355 | Kw Health System, Inc. | Clinic/Center | 53 Salori Court, Temporary Location, Webster, NY 14580 | 2019-02-28 |
| 1174090393 | Brent William Fairchild | Physician Assistant | 1081 Bright Stream Way, Webster, NY 14580 | 2018-10-25 |
| 1114435500 | Vanisha Mcbean | Licensed Practical Nurse | 164 Country Manor Way Apt 22, Webster, NY 14580 | 2018-01-19 |
| 1235658204 | Amarilis Perez | Licensed Practical Nurse | 15 Huntsman Way, Webster, NY 14580 | 2017-09-11 |
| 1710425178 | Michelle Malle Michlin | Licensed Practical Nurse | 1095 Fawnwood Drive, Webster, NY 14580 | 2017-02-06 |
| 1851743900 | Linda A Harris | Social Worker | 63 Daytona Ave, Webster, NY 14580 | 2016-07-12 |
| Find all providers in zip 14580 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003322868 | David Puchala | Technician/Technologist | 1990 Brandt Point Dr, Webster, NY 14580-1986 | 2017-12-15 |
| 1962879478 | National Vision, Inc. | Technician/Technologist | 19801 Gulf Fwy, Webster, TX 77598-3826 | 2015-09-01 |
| 1194791780 | Whelpley & Paul Opticians | Technician/Technologist | 950 Ridge Rd, Webster, NY 14580-2568 | 2006-02-24 |
| 1780171660 | Nathan J Brillian | Technician/Technologist | 603 Ridge Rd, Webster, NY 14580-2316 | 2018-04-17 |
| 1518454560 | Scott Leo Hebert | Technician/Technologist | 603 Ridge Rd, Webster, NY 14580-2316 | 2018-04-16 |
| 1164919114 | Kristina Marie Ackerman | Technician/Technologist | 603 Ridge Rd, Webster, NY 14580-2316 | 2018-04-16 |
| 1477912202 | Sunrise Visa LLC | Technician/Technologist | 1537 W Bay Area Blvd, Webster, TX 77598-3400 | 2016-02-22 |
| 1730393372 | Leonard Joseph Orasz | Technician/Technologist | 31 School St, Webster, MA 01570-4307 | 2007-05-10 |
| 1982773727 | Daniel Warner | Technician/Technologist | 1015 Ridge Rd, Webster, NY 14580-2907 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
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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.