WAL-MART STORES, INC. DBA WAL-MART (NPI# 1902937402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902937402 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. DBA WAL-MART |
| Other Organization Name | VISION CENTER 30-3728 |
| Practice Address |
3950 W. Lake Mead Blvd North Las Vegas NV 89032 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4792779373 |
| Practice Fax Number | 4792778176 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID J. SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| 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 30-3728 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871717256 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 755 Riverpoint Dr, West Sacramento, CA 95605-1626 | 2007-04-13 |
| 1639200058 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 2500 S Main, Fort Scott, KS 66701 | 2007-03-08 |
| 1558492033 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 79315 Hwy 111, La Quinta, CA 92253 | 2007-03-08 |
| 1659402089 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 205 12th St. S., Sauk Centre, MN 56378 | 2007-03-08 |
| 1528199940 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 1720 Westridge Rd, New Ulm, MN 56073 | 2007-03-08 |
| 1366573826 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 9151 So. Quarry Blvd, Sandy, UT 84094 | 2007-03-08 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1124150578 | Wal-mart Stores, Inc. Dba Wal-mart | Eyewear Supplier (Equipment, not the service) | 3205 Stower St, Miles City, MT 59301-5785 | 2007-03-12 |
| 1003948456 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 7150 E Speedway Blvd, Tucson, AZ 85710-1318 | 2007-03-12 |
| 1649302563 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 1800 University Dr, Vista, CA 92083-7700 | 2007-03-09 |
| Street Address |
3950 W. LAKE MEAD BLVD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811485253 | James Kyles | Technician/Technologist | 4421 Valley Quail Way, North Las Vegas, NV 89084-2629 | 2018-05-01 |
| 1962501445 | Wal-mart Stores, Inc. | Technician/Technologist | 6464 N. Decatur Blvd., North Las Vegas, NV 89084 | 2006-09-21 |
| 1417047416 | Wal-mart Stores, Inc | Technician/Technologist | 1807 W Craig Rd, North Las Vegas, NV 89032-0217 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232730 | Tina Kosmach | Technician/Technologist | 7330 Eastgate Rd Ste 130, Henderson, NV 89011-4048 | 2018-07-19 |
| 1700120136 | Wal-mart Stores Inc | Technician/Technologist | 1511 Grant St, Gardnerville, NV 89410-7824 | 2012-11-26 |
| 1689928608 | Lovejeet Toor | Technician/Technologist | 3230 W Hacienda Ave Ste 301, Las Vegas, NV 89118-1717 | 2012-10-29 |
| 1659624500 | Andrea I Krohn | Technician/Technologist | 1684 Sabatini Dr, Henderson, NV 89052-4109 | 2012-10-16 |
| 1225295934 | James Crimi | Technician/Technologist | 10575 S Eastern Ave, #150, Henderson, NV 89052-5017 | 2008-05-20 |
| 1730302993 | Michael Erin Grover | Technician/Technologist | 4340 Valdez Way, Reno, NV 89502-4938 | 2007-04-10 |
| 1134240443 | Sean Russell Fericks | Technician/Technologist | 1657 Mountain City Highway, Suite 101, Elko, NV 89801-2459 | 2007-04-03 |
| 1598808511 | Nevada State Optical, Inc. | Technician/Technologist | 5595 S Virginia St, Suite B, Reno, NV 89502-6085 | 2007-02-15 |
| 1063568103 | Gem Optical | Technician/Technologist | 3300 E Flamingo Rd, Suite 20, Las Vegas, NV 89121-4398 | 2007-01-25 |
| 1790840692 | Wal-mart Stores, Inc. | Technician/Technologist | 5198 Boulder Hwy, Las Vegas, NV 89122 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on WAL-MART STORES, INC. DBA WAL-MART.
| 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.