WAL-MART STORES EAST, LP (NPI# 1962415273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962415273 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2221 |
| Practice Address |
2021 E Independence St Springfield MO 65804-3748 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 4178868209 |
| Enumeration Date | 2006-08-15 |
| 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 30-2221 | 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 |
2021 E INDEPENDENCE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772750 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2021 E Independence St, Springfield, MO 65804-3748 | 2006-07-16 |
| 1154922995 | Michael David Buchta | Pharmacist | 2021 E Independence St, Springfield, MO 65804-3748 | 2020-11-06 |
| 1124628508 | Telina Dawn Horton | Pharmacist | 2021 E Independence St, Springfield, MO 65804-3748 | 2020-10-27 |
| 1710464151 | Brad Wesley Brown | Nurse Practitioner | 2021 E Independence St, Springfield, MO 65804-3748 | 2018-07-27 |
| 1700212354 | Shelley Ann Bird | Nurse Practitioner | 2021 E Independence St, Springfield, MO 65804-3748 | 2013-09-15 |
| 1780936302 | Lori Ann Chaffin | Nurse Practitioner | 2021 E Independence St, Springfield, MO 65804-3748 | 2012-10-05 |
| 1205909397 | National Hearing Centers | Audiologist-Hearing Aid Fitter | 2021 E Independence St, Springfield, MO 65804-3748 | 2006-11-16 |
| 1437160900 | Kristen Gillogly Woods | Optometrist | 2021 E Independence St, Springfield, MO 65804-3748 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 | 65804 |
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.