WAL-MART STORES EAST, LP (NPI# 1821171414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821171414 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-5160 |
| Practice Address |
1700 W Michigan Ave Jackson MI 49202-4005 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5178170326 |
| Enumeration Date | 2006-10-24 |
| 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 30-5160 | 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 |
1700 W MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376560748 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2006-07-16 |
| 1487255964 | Joseph Stenberg | Pharmacist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2020-11-03 |
| 1275175937 | Scott Oconnor Tyler | Pharmacist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2019-10-15 |
| 1457993099 | Wassem Mohamad Slaibe | Pharmacist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2019-10-15 |
| 1568934008 | Shannon Penn | Pharmacist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2018-12-21 |
| 1285086132 | Thomas Dyjach | Pharmacist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2016-07-04 |
| 1629428107 | Kathryn Tazzi | Pharmacist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2016-06-15 |
| 1952776882 | Lesley Ann Cameron | Pharmacist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2015-12-03 |
| 1962505065 | Cliff J Carter | Optometrist | 1700 W Michigan Ave, Jackson, MI 49202-4005 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245692110 | National Vision, Inc. | Technician/Technologist | 119a Stonebrook Pl, Jackson, TN 38305-3636 | 2016-03-22 |
| 1366710113 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1121 Boardman Road, Jackson, MI 49202-1901 | 2011-12-08 |
| 1427337492 | Clear View Vision Care | Technician/Technologist | 4612 Medgar Evers Blvd ., Suite 9, Jackson, MS 39213 | 2011-08-09 |
| 1528236973 | Patricia Hammons | Technician/Technologist | 661 Duling Ave, Jackson, MS 39216-4008 | 2008-02-19 |
| 1871799353 | Christopher Joels Brogan | Technician/Technologist | 3333 E. Michigan Ave., Suite 3, Jackson, MI 49202 | 2007-06-22 |
| 1154530681 | Glynn E. Jones Sr. | Technician/Technologist | 4531 Highway 80 W, Jackson, MS 39209-4806 | 2007-05-22 |
| 1033299417 | Sam's Club Optical | Technician/Technologist | 6360 Ridgewood Court Dr, Jackson, MS 39211-1800 | 2006-10-17 |
| 1669790911 | Kenneth John Kane | Technician/Technologist | 762 W Michigan Ave, Suite D, Jackson, MI 49201-1978 | 2010-05-12 |
| 1922283852 | Contact Care Optical | Technician/Technologist | 4531 Highway 80 W, Jackson, MS 39209-4806 | 2008-01-09 |
| 1295813426 | Wal-mart Stores East, Lp | Technician/Technologist | 2711 Greenway Dr, Jackson, MS 39204-3304 | 2006-11-02 |
| Find all providers in JACKSON | ||||
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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.