WAL-MART STORES EAST, LP (NPI# 1962591453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962591453 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST, LP |
Other Organization Name | VISION CENTER 30-1309 |
Practice Address |
1851 W Main St Salem VA 24153-3111 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 5403752919 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LINDA M. EPPERSON (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 30-1309 | 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 |
1851 W MAIN ST |
City | SALEM |
State | VA |
Zip Code | 24153-3111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881611085 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1851 W Main St, Salem, VA 24153-3111 | 2006-07-16 |
1386245884 | Kenneth Holley | Pharmacist | 1851 W Main St, Salem, VA 24153-3111 | 2020-11-03 |
1669072245 | Brian S Early | Pharmacist | 1851 W Main St, Salem, VA 24153-3111 | 2020-10-31 |
1649475740 | Dr. Tim Jessee, Optometry Inc | Optometrist | 1851 W Main St, Salem, VA 24153-3111 | 2007-06-19 |
1225143639 | Timothy Garland Jessee | Optometrist | 1851 W Main St, Salem, VA 24153-3111 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
Find all providers in zip 24153 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316028491 | Wal-mart Stores East, Lp | Technician/Technologist | 1101 W Highway 32, Salem, MO 65560-2368 | 2006-10-17 |
1750839072 | Wal-mart Stores East, Lp | Technician/Technologist | 1309 E Hackberry St, Salem, IN 47167-9604 | 2016-09-15 |
1134594682 | Wal-mart Stores East, Lp | Technician/Technologist | 450 Highland Ave, Salem, MA 01970-1765 | 2015-12-09 |
1013200575 | Heidi Elise Martin | Technician/Technologist | 224 N Broadway, Suite B1, Salem, NH 03079-2145 | 2011-05-17 |
1215232384 | Judith Catherine Delvalle-webb | Technician/Technologist | 224 N Broadway, Rt 28 Bldg E1, Salem, NH 03079-2145 | 2011-01-20 |
1265742084 | Matthew K Tucker | Technician/Technologist | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2010-10-14 |
1700026663 | Peouvisak Pen | Technician/Technologist | 151 Main St, Suite #10, Salem, NH 03079-3109 | 2009-03-04 |
1912059882 | Banville Optical Inc. | Technician/Technologist | 88 Lafayette St, Salem, MA 01970-3625 | 2007-01-18 |
1700967528 | Wal-mart Stores, Inc | Technician/Technologist | 1870 W Main St, Salem, IL 62881-5838 | 2006-10-18 |
1598846354 | Wal-mart Stores, Inc | Technician/Technologist | 1940 Turner Rd Se, Salem, OR 97302-2003 | 2006-10-18 |
Find all providers in SALEM |
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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.