WAL-MART STORES, INC.


Address: 1860 E Main St, Othello, WA 99344-1578
Phone: 4792582115

WAL-MART STORES, INC. (NPI# 1942671359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942671359
Entity Type Organization
Organization Name WAL-MART STORES, INC.
Other Organization Name WALMART VISION CENTER 30-3217
Practice Address 1860 E Main St
Othello
WA 99344-1578
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 4792582115
Practice Fax Number 4792774331
Enumeration Date 2015-10-12
Last Update Date 2015-10-12
Authorized Official Name DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
Authorized Official Telephone 4792582115
Is Organization Subpart N

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Walmart Vision Center 30-3217 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164955852 Wal-mart Stores, Inc. Eyewear Supplier (Equipment, not the service) 9400 Ralston Road, Arvada, CO 80002 2017-04-10
1780039115 Wal-mart Stores, Inc. Technician/Technologist 365 Lake Marian Road, Carpentersville, IL 60110 2016-05-04
1891149332 Wal-mart Stores, Inc. Technician/Technologist 22401 Central Avenue, Richton Park, IL 60471 2016-04-21
1629436233 Wal-mart Stores, Inc. Technician/Technologist 1301 N Victory Pl, Burbank, CA 91502-1649 2016-02-10
1194194605 Wal-mart Stores, Inc. Technician/Technologist 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 2015-09-15
1467837583 Wal-mart Stores, Inc. Technician/Technologist 303 E Moody Rd, Rexburg, ID 83440 2015-07-30
1760882666 Wal-mart Stores, Inc. Technician/Technologist 82-491 Avenue 42, Indio, CA 92203 2014-08-27
1568879419 Wal-mart Stores, Inc. Technician/Technologist 5200 W 60th Street N, Sioux Falls, SD 57107-6504 2014-07-11
1508283730 Wal-mart Stores, Inc. Technician/Technologist 1424 Highway 2 E, Devils Lake, ND 58301-4000 2014-03-26
1396169041 Wal-mart Stores, Inc. Technician/Technologist 2552 W. 75th Street, Naperville, IL 60540-0000 2014-02-14

Other Data Sources

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

Office Location

Street Address 1860 E MAIN ST
City OTHELLO
State WA
Zip Code 99344-1578

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477570505 Walmart Inc. Durable Medical Equipment & Medical Supplies 1860 E Main St, Othello, WA 99344-1578 2006-07-16
1932577202 Arden Bryan Sherrill Pharmacist 1860 E Main St, Othello, WA 99344-1578 2015-09-03
1932475365 Ravichandra Kamisetti Pharmacist 1860 E Main St, Othello, WA 99344-1578 2012-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073031613 Robert Lee Mccrorie Physician Assistant Cbha 1515 East Columbia Street, Othello, WA 99344 2017-09-04
1134504145 Body Kneads Massage Therapy Preferred Provider Organization 445 Cedar Blvd., Suite C, Othello, WA 99344 2015-07-21
1457756421 Weeping Ridge Estate Adult Family Home Inc Custodial Care Facility 2455 W. Bench Rd, Othello, WA 99344 2014-11-03
1275938243 Weeping Ridge West, Inc. Custodial Care Facility 2455 West Bench Rd, Othello, WA 99344 2014-11-03
1437572617 Sterling Gerber Physical Therapist 315 Nth 14th Ave., Othello, WA 99344 2014-01-24
1346688330 Amaris Suarez Counselor 425 E. Main Street, Suite 600, Othello, WA 99344 2013-06-12
1669679387 Jessica Brooks Smith Pharmacist 140 E. Main St, Othello, WA 99344 2007-06-27
1174688030 Percy N Erdmann General Practice 1207 E Main, Othello, WA 99344 2006-12-22
1962581405 Ian Fuger Dentist 140 E Main Street, Othello, WA 99344 2006-11-03
1194819540 Richard A Maywald Counselor 425 E Main Suite 600, Othello, WA 99344 2006-10-02
Find all providers in zip 99344

Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760004477 The Vancouver Clinic Inc Ps Eyewear Supplier (Equipment, not the service) 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 2020-05-15
1619514825 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 11111 Ne 8th St Ste 147, Bellevue, WA 98004-4489 2019-12-06
1790341675 Zachary Robert Cooper Eyewear Supplier (Equipment, not the service) 301 Queen Anne Ave N # 506, Seattle, WA 98109-4513 2019-05-15
1235795626 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1052 Springwater Ave, Wenatchee, WA 98801-1546 2019-05-12
1154987535 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 9326 N Division St, Spokane, WA 99218-1227 2019-05-11
1699331074 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 2529 Main St Ste P6-a, Union Gap, WA 98903-1690 2019-05-11
1972096584 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 2018-06-08
1437648508 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 4502 S Steele St Ste 700, Tacoma, WA 98409-7224 2018-05-04
1407359151 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 9801 204th Ave E, Bonney Lake, WA 98391 2018-03-08
1457860702 Visionpros Usa Inc Eyewear Supplier (Equipment, not the service) 1750 Grant Ave, Blaine, WA 98230-5155 2017-09-28
Find all providers with the same taxonomy

Competitor

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City OTHELLO
Zip Code 99344

Improve Information

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Dataset Information

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.

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