WAL-MART STORES EAST, LP (NPI# 1972689180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972689180 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-2160 |
| Practice Address |
3500 S Crater Rd Petersburg VA 23805-9204 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8049576444 |
| Enumeration Date | 2006-10-31 |
| 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 30-2160 | 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 |
3500 S CRATER RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821015934 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3500 S Crater Rd, Petersburg, VA 23805-9204 | 2006-07-16 |
| 1033470539 | Legacy Eye Care | Optometrist | 3500 S Crater Rd, Petersburg, VA 23805-9204 | 2012-06-01 |
| 1447511001 | Robert Joaquin Foster | Optometrist | 3500 S Crater Rd, Petersburg, VA 23805-9204 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265586911 | Susan Harrison Fisher | Technician/Technologist | 1980 South Sycamore Street, Petersburg, VA 23805-2729 | 2007-01-22 |
| 1639279680 | Virginia Optical Center Inc | Technician/Technologist | 1980 S Sycamore St, Petersburg, VA 23805-2729 | 2006-09-22 |
| 1760536429 | Douglas Powell Fisher Jr. | Technician/Technologist | 1980 South Sycamore Street, Petersburg, VA 23805-2729 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1316421449 | National Vision Inc | Technician/Technologist | 545a Hilltop Plz, Virginia Beach, VA 23454-4501 | 2018-09-25 |
| 1215417001 | Takenya Norfus | Technician/Technologist | 3031 Kempton Park Rd, Suffolk, VA 23435-2552 | 2018-08-21 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
| 1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
| 1548774425 | Dean Diffenbaugh | Technician/Technologist | 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 | 2017-11-29 |
| 1447761408 | David Morris Lambert | Technician/Technologist | 904 N 1st St Ste 100, Richmond, VA 23219-1000 | 2017-10-17 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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.