WAL-MART STORES, INC (NPI# 1821467358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821467358 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | WALMART VISION CENTER 30-5396 |
| Practice Address |
1330 Goldfish Farm Rd Se Albany OR 97322-5154 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5419714087 |
| Practice Fax Number | 5419286076 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | DEB LAUVER (SPECIALIST) |
| 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 |
|---|---|
| Walmart Vision Center 30-5396 | 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 |
| 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 |
| 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 |
| Street Address |
1330 GOLDFISH FARM RD SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1619585023 | Ashlee Hubsky | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322-5154 | 2020-07-21 |
| 1851848469 | Andrea Richardson | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322-5154 | 2016-09-01 |
| 1821499690 | Ashlyn Smith | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322-5154 | 2014-09-11 |
| 1790062297 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1330 Goldfish Farm Rd Se, Albany, OR 97322-5154 | 2011-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| 1942473277 | Janelle Marla Oliger-graham | Technician/Technologist | 3401 College Loop Se, Albany, OR 97322 | 2008-04-08 |
| Find all providers in zip 97322 | ||||
| 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 |
|---|---|---|---|---|
| 1528301173 | Treondaus Garnett Morman | Eyewear Supplier (Equipment, not the service) | 1135 Santiam Hwy Se, Albany, OR 97321-3156 | 2013-04-02 |
| 1336446590 | 2 Chaudhrys, LLC | Eyewear Supplier (Equipment, not the service) | 155 Wolf Rd, Albany, NY 12205-1159 | 2011-02-23 |
| 1487821435 | V: Optical Laboratory, Inc. | Eyewear Supplier (Equipment, not the service) | 2234 Palmyra Rd, Albany, GA 31701-1322 | 2008-05-09 |
| 1316097512 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 449 Colonie Ctr, Albany, NY 12205 | 2007-01-11 |
| 1033269238 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1 Crossgates Mall Rd # L104, Albany, NY 12203-5368 | 2007-01-11 |
| 1578611828 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2095 14th Ave Se, Heritage Mall, Albany, OR 97321-8507 | 2007-01-05 |
| 1386700524 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1425 Central Ave, Colonie Ctr, Albany, NY 12205-2702 | 2006-12-30 |
| 1679664122 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2169 14th Ave Se, Albany, OR 97321-8510 | 2006-09-28 |
| 1194736256 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 120 Washington Ave, Albany, NY 12203 | 2006-08-11 |
| 1619998515 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2601 Dawson Road, Albany, GA 31707 | 2006-07-23 |
| Find all providers in ALBANY | ||||
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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.