WAL-MART STORES EAST, LP (NPI# 1932656238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932656238 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WAL-MART VISION CENTER 30-2289 |
| Practice Address |
210 Northside Dr Bennington VT 05201-1755 |
| Mailing Address |
702 Sw 8th St Ms 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 4792048550 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| 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 30-2289 | 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 |
210 NORTHSIDE DR |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821201229 | Jonathan Lloyd | Pharmacist | 210 Northside Dr, Bennington, VT 05201-1755 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| 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 |
|---|---|---|---|---|
| 1679596753 | Moultons Spectacle Shoppe | Eyewear Supplier (Equipment, not the service) | 463 Main St, Bennington, VT 05201-2141 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972712636 | Lenco Inc. | Eyewear Supplier (Equipment, not the service) | 175 Quality Ln, Rutland, VT 05701-4995 | 2007-05-21 |
| 1649392259 | Crystal Vision By Drs. of Optomertry | Eyewear Supplier (Equipment, not the service) | 1878 Mountain Rd Ste 2, Stowe, VT 05672-4775 | 2007-04-04 |
| 1235291204 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Route 7 South, Diamond Run Mall, Rutland, VT 05701-9637 | 2006-12-15 |
| 1255725453 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 218 Lower Mountain View Dr, Colchester, VT 05446-5830 | 2015-03-25 |
| 1144613852 | Eyecare for You, PC | Eyewear Supplier (Equipment, not the service) | 1593 Vt Rte 107, Bethel, VT 05032-4456 | 2015-03-05 |
| 1487986816 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 155 Dorset St, University Mall, S Burlington, VT 05403-6346 | 2010-02-10 |
| 1902033665 | Richard E. Del Bianco, O.d., P.C. | Eyewear Supplier (Equipment, not the service) | 69 Allen St Ste 12, Rutland, VT 05701-4564 | 2009-06-19 |
| 1386832756 | Advanced Eyecare, PC | Eyewear Supplier (Equipment, not the service) | 5222 Main St, Manchester Center, VT 05255-9700 | 2007-10-10 |
| 1053511147 | Vermont Optical Corp | Eyewear Supplier (Equipment, not the service) | 69 Allen St, Suite 15, Rutland, VT 05701-4564 | 2007-07-18 |
| 1548382823 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 155 Dorset St, University Mall Ste #m2, South Burlington, VT 05403-6346 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST, LP.
| 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.