WAL-MART STORES, INC (NPI# 1821407909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821407909 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | WAL-MART VISION CENTER 30-5628 |
| Practice Address |
19191 N Kelsey St Monroe WA 98272-1459 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3603654036 |
| Practice Fax Number | 3603654037 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | DEB LAUVER (SPECIALIST PLAN ENROLLMENT) |
| Authorized Official Telephone | 4792582115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-5628 | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1316161797 | Wal-mart Stores, Inc | Technician/Technologist | 1326 Bush River Road, Columbia, SC 29210 | 2007-04-13 |
| 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 |
| Street Address |
19191 N KELSEY ST |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962891630 | Genet Abebe | Pharmacist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2015-01-17 |
| 1861897399 | Gregory Carroll | Pharmacist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-10-27 |
| 1356750186 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130314 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 232 Larkin Dr, Monroe, NY 10950-4911 | 2020-09-30 |
| 1891340899 | Joseph E Humble and Raymond Haik, Ptrs | Eyewear Supplier (Equipment, not the service) | 1801 Auburn Ave, Monroe, LA 71201-5005 | 2019-08-06 |
| 1598263238 | Visioinworks, Inc | Eyewear Supplier (Equipment, not the service) | 2335 W Roosevelt Blvd Ste C, Monroe, NC 28110-0416 | 2018-01-29 |
| 1699800656 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 1349 N Telegraph Rd, Monroe, MI 48162-3374 | 2007-02-22 |
| 1356487490 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 2121 N Monroe St, Frenchtown Square #235, Monroe, MI 48162-5316 | 2007-01-29 |
| 1659429165 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4800 Millhaven Rd, Pecanland Mall, Monroe, LA 71203-9054 | 2007-01-08 |
| 1164588398 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2121 N Monroe, Frenchtown Square, Monroe, MI 48162-5316 | 2006-12-30 |
| 1770671349 | Jason Wonch Od and Associates A PC | Eyewear Supplier (Equipment, not the service) | 4700 Millhaven Road, Suite 1090, Monroe, LA 71203 | 2006-10-10 |
| 1558452284 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 19919 State Rte 2, Monroe Plaza, Monroe, WA 98272-2338 | 2006-09-27 |
| 1215971957 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 18805 State Rt #2, Suite A, Monroe, WA 98272 | 2006-06-15 |
| Find all providers in MONROE | ||||
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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.