MEDICARE: WAL-MART STORES EAST, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1306944087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAL-MART STORES EAST, LP

Provider Business Mailing Address
First Line	:	702 SW 8TH STREET
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72716-0235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 SATRIALE WAY
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011
Country	:	US
Telephone Number	:	513-869-8400
Fax Number	:

Authorized Official
Title or Position	:	NPI COORDINATOR
Name	:	NICOLE D GENTILE
Credential	:
Telephone Number	:	316-788-5580

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1396784963 — DR. DENNIS M ANTHONY M.D.
Practice Location Address:

5964 GOLF CLUB LN
HAMILTON, OH
45011-8224

Practice Phone: 513-893-1100
Practice Fax: 513-893-1128

1063120582 — CHRISTY ROSE NEAOMI GONZALES-BURCH
Practice Location Address:

515 DAYTON ST
HAMILTON, OH
45011-3455

Practice Phone: 513-886-9354
Practice Fax:

1215896576 — JOHANNON ROBERT TATE
Practice Location Address:

1910 FAIRGROVE AVE STE E
HAMILTON, OH
45011-1930

Practice Phone: 513-494-4679
Practice Fax:

1629927835 — HARMONY SPRINGS BEHAVIORAL HEALTH
Practice Location Address:

634 CHESTNUT ST
HAMILTON, OH
45011-3758

Practice Phone: 678-675-2631
Practice Fax:

1417322397 — MRS. MARY RUTH LEYENDECKER NP
Practice Location Address:

1910 FAIRGROVE AVE
HAMILTON, OH
45011-1930

Practice Phone: 513-868-0055
Practice Fax:

1215001128 — MICHAEL THOMAS RAMOS MSW
Practice Location Address:

1490 UNIVERSITY BLVD
HAMILTON, OH
45011-3305

Practice Phone: 513-896-7887
Practice Fax:

1639737539 — JENNIFER LYNN HELTON
Practice Location Address:

515 DAYTON ST
HAMILTON, OH
45011-3455

Practice Phone: 513-868-7654
Practice Fax:

Directions to “WAL-MART STORES EAST, LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.