WAL-MART STORES EAST, LP (NPI# 1861574006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861574006 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2388 |
| Practice Address |
950 W Votaw St Portland IN 47371 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 2607263682 |
| Enumeration Date | 2006-10-19 |
| 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 30-2388 | 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 |
950 W VOTAW ST |
| City | PORTLAND |
| State | IN |
| Zip Code | 47371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669499885 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 950 W Votaw St, Portland, IN 47371-1254 | 2006-07-16 |
| 1235730052 | Courtney Snell | Pharmacist | 950 W Votaw St, Portland, IN 47371-1254 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1609186030 | Carolyn Louise Keihn | Nurse Practitioner | 430 W. Votaw St., Portland, IN 47371 | 2010-10-19 |
| 1922125384 | Carla Ann Ford | Social Worker | 1758 W 100s, Jay County Hopsital Behavioral Health, Portland, IN 47371 | 2007-03-23 |
| 1902824956 | Midwest Healthstrategies, Inc | Physical Therapist | 1745 W 100 S, Portland, IN 47371 | 2006-07-18 |
| 1346212875 | Jenni Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-07 |
| 1497756043 | Jay County Government | Ambulance | 902 N Creagor Ave, Portland, IN 47371 | 2005-08-04 |
| 1336694736 | Anne Hardesty | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371 | 2016-08-16 |
| 1144296088 | Kent Farnsworth | Emergency Medicine | 500 W Votaw St, Portland, IN 47371 | 2006-02-28 |
| 1982677241 | James P Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-08 |
| Find all providers in zip 47371 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619530524 | Christopher Morgan Wheaton | Technician/Technologist | 93 Washington Ave Unit 2, Portland, ME 04101-2618 | 2019-04-16 |
| 1609108968 | Kathy Haywood | Technician/Technologist | 1017 Northcliff Dr, Portland, TX 78374-1918 | 2010-02-10 |
| 1508006040 | America's Best Contacts & Eyeglasses | Technician/Technologist | 539 Sw 3rd Ave, Portland, OR 97204-2501 | 2009-02-24 |
| 1669621207 | Reynolds Optical | Technician/Technologist | 800 Sw Alder, Portland, OR 97205-3107 | 2008-09-18 |
| 1235306911 | Amy Roseanne Skucas | Technician/Technologist | 500 Multnomah St, Suite 100, Portland, OR 97232 | 2008-05-13 |
| 1497926463 | Hallmark Opticians | Technician/Technologist | 1911ne Broadway, Portland, OR 97232-1501 | 2008-03-18 |
| 1922139054 | Sandra Gillgam | Technician/Technologist | 11703 Ne Glisan St, Portland, OR 97220-2141 | 2007-03-08 |
| 1053455782 | Keeoli Corp Dba Vipeyes | Technician/Technologist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2007-02-16 |
| 1245385160 | Charles Marshall | Technician/Technologist | 1911 Ne Broadway St, Portland, OR 97232-1501 | 2007-01-23 |
| 1205984630 | Weller Inc | Technician/Technologist | 2933 E Burnside St, Portland, OR 97214-1831 | 2007-01-08 |
| Find all providers in PORTLAND | ||||
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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.