WAL-MART STORES EAST, LP (NPI# 1952312068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952312068 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0086 |
| Practice Address |
2825 N Kansas Expy Springfield MO 65803-1017 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 4178658865 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY J BOYD (CONTRACT COORDINATOR) |
| Authorized Official Telephone | 4792771359 |
| 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 30-0086 | 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 |
2825 N KANSAS EXPY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548297815 | Shanna D. Chapman | Nurse Practitioner | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-06-26 |
| 1578164596 | Christopher Glenn Conner | Pharmacist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2020-11-05 |
| 1144821760 | Alysia Vest | Pharmacist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2020-11-02 |
| 1457741621 | Kelly Copeland | Nurse Practitioner | 2825 N Kansas Expy, Springfield, MO 65803 | 2015-01-27 |
| 1891057964 | Toni R Mcginnis | Nurse Practitioner | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2012-06-13 |
| 1932422862 | Susan E. Foster | Pharmacist | 2825 N Kansas Expy, Walmart Pharmacy #0086, Springfield, MO 65803-1017 | 2010-03-06 |
| 1285806430 | Matthew D Mendenhall | Pharmacist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2008-03-27 |
| 1629142799 | Bob Honicutt | Hearing Instrument Specialist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-11-20 |
| 1164524401 | William K Hecox | Optometrist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-09-05 |
| 1245257666 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1306300884 | National Vision Inc | Technician/Technologist | 2880 Gateway St Ste 302, Springfield, OR 97477-7708 | 2019-01-29 |
| 1376837682 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1624 N Bechtle Ave, Springfield, OH 45504-1572 | 2011-06-03 |
| 1497981385 | America's Best Contact & Eyeglasses | Technician/Technologist | 3207 S Veterans Pkwy, Springfield, IL 62704-7425 | 2009-06-05 |
| 1548401649 | Shelia Gibbs | Technician/Technologist | 1514 Allen St, Springfield, MA 01118-1817 | 2009-03-19 |
| 1295930758 | Gary Paul Feen | Technician/Technologist | 289 Bridge Street, Springfield, MA 01103 | 2007-06-15 |
| 1932234341 | Mark R Heffington | Technician/Technologist | 1550 E Battlefield St Ste J, Springfield, MO 65804-3700 | 2007-02-23 |
| 1689720328 | Edmund A Hasenjager | Technician/Technologist | 352 Cooley St, Springfield, MA 01128-1144 | 2007-01-26 |
| 1730292574 | Wal-mart Stores East, Lp | Technician/Technologist | 1600 N Bechtle Ave, Springfield, OH 45504-1572 | 2006-08-16 |
| 1912300260 | Eric Eisinger | Technician/Technologist | 932 W Columbia St, Springfield, OH 45504-2738 | 2014-10-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
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.