WAL-MART STORES EAST, LP (NPI# 1952484578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952484578 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-0219 |
Practice Address |
3201 W Broadway Blvd Sedalia MO 65301-2118 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 6608267800 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | NICOLE D GENTILE (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 30-0219 | 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 |
3201 W BROADWAY BLVD |
City | SEDALIA |
State | MO |
Zip Code | 65301-2118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154348571 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2006-07-16 |
1477153211 | Joan Marie Bowen | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-30 |
1275133548 | Shane Landon Hatfield | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-27 |
1275133563 | Connie Sue Rolf | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-27 |
1831799121 | Darby William Kernohan | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-27 |
1720274004 | Nelson Eyecare Inc. | Optometrist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2007-09-19 |
1447356134 | Benjamin B Nelson | Optometrist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2006-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
Find all providers in zip 65301 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700498334 | Rhea Optical 20/20 | Technician/Technologist | 1901 Broadway St, Cape Girardeau, MO 63701-4536 | 2020-08-17 |
1275175226 | Amanda E Sprague | Technician/Technologist | 7514 Hazelcrest Dr, Hazelwood, MO 63042-2204 | 2019-10-11 |
1659837128 | National Vision Inc | Technician/Technologist | 12252 Saint Charles Rock Rd, Bridgeton, MO 63044-2501 | 2019-02-20 |
1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
1407205529 | Felicia Johnson | Technician/Technologist | 1764 Thunderbird Ave, Florissant, MO 63033 | 2016-06-09 |
1982062279 | Om Vision Services Inc | Technician/Technologist | 1758 S Hanley Rd, Richmond Heights, MO 63117 | 2016-02-02 |
1760851547 | National Vision, Inc. | Technician/Technologist | 7345 S Lindbergh Blvd Ste B, Saint Louis, MO 63125-4574 | 2015-09-22 |
1265820815 | Spec Shoppe II | Technician/Technologist | 301 N Park St, Stanberry, MO 64489-1245 | 2015-01-06 |
1558781443 | Athena Marie Duncan | Technician/Technologist | 450 N Johnson, Kahoka, MO 63445 | 2014-04-18 |
1194149567 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3210 Laclede Station Rd, St. Louis, MO 63143 | 2014-02-06 |
Find all providers with the same taxonomy |
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.