WAL-MART STORES, INC.


Address: 4200 Dodge St, Dubuque, IA 52003-2624
Phone: 5635821003

WAL-MART STORES, INC. (NPI# 1972684017) 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) 1972684017
Entity Type Organization
Organization Name WAL-MART STORES, INC.
Other Organization Name VISION CENTER 30-2004
Practice Address 4200 Dodge St
Dubuque
IA 52003-2624
Mailing Address 702 Sw 8th Street
Bentonville
AR 72716-0235
Practice Telephone 5635821003
Enumeration Date 2006-10-17
Last Update Date 2020-08-22
Authorized Official Name LINDA M. EPPERSON (NPI COORDINATOR)
Authorized Official Telephone 3167885580
Is Organization Subpart N

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Vision Center 30-2004 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

Office Location

Street Address 4200 DODGE ST
City DUBUQUE
State IA
Zip Code 52003-2624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487616736 Gregory David Hansen Optometrist 4200 Dodge St, Dubuque, IA 52003-2624 2006-04-03
1881213551 Jill Oglesby Pharmacy Technician 4200 Dodge St, Dubuque, IA 52003-2624 2020-04-13
1790314136 Crystal Ann Smith Pharmacist 4200 Dodge St, Dubuque, IA 52003-2624 2020-04-07
1881223246 Molly Laaker Pharmacist 4200 Dodge St, Dubuque, IA 52003-2624 2020-04-07
1235266628 Dr. Greg Hansen, P.C. Optometrist 4200 Dodge St, Dubuque, IA 52003-2624 2007-02-27
1568489953 Walmart Inc. Durable Medical Equipment & Medical Supplies 4200 Dodge St, Dubuque, IA 52003-2624 2006-07-16
1083676332 Lisa Ma Hansen Optometrist 4200 Dodge St, Dubuque, IA 52003-2624 2006-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942839691 Steven Anthony Link Pharmacist 400 S Locust, Dubuque, IA 52003 2020-04-05
1336703057 Braces By Abbadent, LLC Dentist 3430 Dodge St., Suite 19, Dubuque, IA 52003 2019-04-29
1689172751 Statera LLC Clinic/Center 3375 Lake Ridge Drive, Dubuque, IA 52003 2018-01-24
1083962401 Megan M Gross Registered Nurse 3375 Lake Ridge Dr., Dubuque, IA 52003 2012-08-15
1790067320 Open Arms Home Health Care LLC Home Health 3390 Lake Ridge Drive, Dubuque, IA 52003 2011-09-09
1073539375 Key West Fire and Ems Association Ambulance 10640 Lake Eleanor Road, Dubuque, IA 52003 2006-07-14
1124054283 Jennifer Rebecca Klein Chiropractor 2254 Flint Hill Drive, #1, Dubuque, IA 52003 2006-06-23
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1942287875 Thomas J King IIi Dentist 100 Bryant St, Dubuque, IA 52003 2005-12-30
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1275726523 Jeffrey Klauer Technician/Technologist 1705 Delhi St, Dubuque, IA 52001-5934 2007-08-21
1316130677 Stephen Kraus Technician/Technologist 1705 Delhi St, Dubuque, IA 52001-5934 2007-08-21
1841483104 Leonard Ross Technician/Technologist 1705 Delhi St, Dubuque, IA 52001-5934 2007-08-21
1013100379 Sarah Row Technician/Technologist 1705 Delhi St, Dubuque, IA 52001-5934 2007-08-21
1033302393 Rhonda Mcmahon Technician/Technologist 1705 Delhi St, Dubuque, IA 52001-5934 2007-08-21

Providers in the same taxonomy and state

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1891000147 Wal-mart Stores Inc Technician/Technologist 2150 East 1st St., Grimes, IA 50111 2010-08-11
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1790013217 America's Best Contacts & Eyeglasses Technician/Technologist 3005 Wiley Blvd Sw Ste 114, Cedar Rapids, IA 52404-3178 2009-11-20
1447404256 America's Best Contacts & Eyeglasses Technician/Technologist 5717 Elmore Ave Ste C, Davenport, IA 52807-3514 2008-11-06
1720232531 America's Best Contacts & Eyeglasses Technician/Technologist 1805 Se Delaware Ave Ste 900, Ankeny, IA 50021-3935 2008-11-06
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1548483639 Russ Uptown Optical Inc Technician/Technologist 4122 University Ave, Des Moines, IA 50311-3533 2007-04-10
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Competitor

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City DUBUQUE
Zip Code 52003

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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