WAL-MART STORES, INC.


Address: 715 E 78th St, Bloomington, MN 55420-1397
Phone: 9528545600

WAL-MART STORES, INC. (NPI# 1811077191) 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) 1811077191
Entity Type Organization
Organization Name WAL-MART STORES, INC.
Other Organization Name VISION CENTER 30-2198
Practice Address 715 E 78th St
Bloomington
MN 55420-1397
Mailing Address 702 Sw 8th Street
Bentonville
AR 72716-0235
Practice Telephone 9528545600
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

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 30-2198 Doing Business As Name - Organization

Other Provider IDs and Locations

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

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
Oklahoma Business Registrations WAL-MART STORES, INC. 702 Sw 8th St, Bentonville, AR 72716

Office Location

Street Address 715 E 78TH ST
City BLOOMINGTON
State MN
Zip Code 55420-1397

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407865223 Nancy Pickett Nurse Practitioner 715 E 78th St, Hcmc Walmart Retail Clinic-bloomington, Bloomington, MN 55420-1397 2006-08-08
1346735198 Holly Rose Langer Optometrist 715 E 78th St, Bloomington, MN 55420-1397 2018-06-25
1386082394 Elias Graham Keith Optometrist 715 E 78th St, Bloomington, MN 55420-1397 2013-06-12
1578856043 Anita Marie Wood Nurse Practitioner 715 E 78th St, Bloomington, MN 55420-1397 2011-05-17
1730495003 Hennepin Healthcare System, Inc Clinic/Center 715 E 78th St, Bloomington, MN 55420-1397 2010-08-25
1568624195 Jessica Loehr Optometrist 715 E 78th St, Bloomington, MN 55420-1397 2008-06-25
1992991426 Hadden Eyecare Associates Optometrist 715 E 78th St, C/o Wal-mart Vision Center, Bloomington, MN 55420-1397 2007-09-18
1174728331 Gloria Elaine Deones Physician Assistant 715 E 78th St, Bloomington, MN 55420-1397 2007-06-18
1144339979 Scott D Hadden Optometrist 715 E 78th St, Bloomington, MN 55420 2006-08-29

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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...

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NPI Name Taxonomy Address Enumeration
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1386744647 Wal-mart Stores East, Lp Technician/Technologist 3201 West State Hwy 45, Bloomington, IN 47403 2006-09-25
1447264221 Us Vision Optical Inc Technician/Technologist 2812 E 3rd St, Bloomington, IN 47401-5423 2006-07-28
1972868032 America's Best Contacts & Eyeglasses Technician/Technologist 3275 W 3rd St, Bloomington, IN 47404-4835 2012-07-05
1073697629 Wal-mart Stores, Inc Technician/Technologist 2225 W Market St, Bloomington, IL 61704-5014 2006-10-24
1215024724 Sam's Club Optical Technician/Technologist 200 American Blvd W, Bloomington, MN 55420-1120 2006-10-06
1205937307 Sam's Club Optical Technician/Technologist 3205 W State Road 45, Bloomington, IN 47403-5107 2006-09-25

Providers in the same taxonomy and state

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1871961185 Wal-mart Stores, Inc Technician/Technologist 3001 E Highway 7, Montevideo, MN 56265-4556 2015-09-03
1215316682 National Vision, Inc. Technician/Technologist 12940 Riverdale Dr Nw, Ste 300, Coon Rapids, MN 55448-8412 2015-05-19
1619354156 National Vision, Inc. Technician/Technologist 1727 Beam Ave, Ste D, Maplewood, MN 55109-1164 2015-05-05
1124437223 America's Best Contacts & Eyeglasses Technician/Technologist 6096 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2316 2014-08-04
1942622089 Wal-mart Stores, Inc. Technician/Technologist 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 2014-01-08
1851712384 Marshall Allan Daly Technician/Technologist 2484 University Ave W, Saint Paul, MN 55114-1735 2013-12-31
1174966683 David Yang Technician/Technologist 987 Oday St S, Maplewood, MN 55119-5953 2013-04-15
1063760817 Wal-mart Stores Inc Technician/Technologist 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 2012-08-28
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City BLOOMINGTON
Zip Code 55420

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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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