WAL-MART STORES TEXAS, LLC (NPI# 1053494591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053494591 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WAL-MART VISION CENTER 30-3645 |
| Practice Address |
200 W Interstate 20 Midland TX 79701-2030 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4326843910 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | LAURA LEVINE (MGR GOV CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-3645 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194216143 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 26824 Fm 1093, Richmond, TX 77406 | 2018-05-25 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1619470770 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 5336 Golden Triangle Blvd, Fort Worth, TX 76244-4406 | 2018-03-15 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1225578529 | Wal-mart Stores Texas, LLC | Technician/Technologist | 22850 Morton Rach Rd, Katy, TX 77449 | 2017-03-06 |
| 1912445487 | Wal-mart Stores Texas, LLC | Technician/Technologist | 1151 Us Hwy 90 E, Castroville, TX 78009 | 2017-02-06 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| 1699123893 | Wal-mart Stores Texas, LLC | Technician/Technologist | 510 Kitty Hawk Rd, Universal City, TX 78148-3961 | 2016-05-27 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1144680539 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2901 Riley Fuzzell Road, Spring, TX 77386 | 2016-02-29 |
| Street Address |
200 W INTERSTATE 20 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902823073 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 200 W Interstate 20, Midland, TX 79701-2030 | 2006-07-16 |
| 1518568831 | Sudha Ramachandra | Pharmacist | 200 W Interstate 20, Midland, TX 79701-2030 | 2020-11-03 |
| 1356998140 | Ugochukwu Joachin Chiadi | Pharmacist | 200 W Interstate 20, Midland, TX 79701-2030 | 2019-08-26 |
| 1649736398 | Henry Phe | Pharmacist | 200 W Interstate 20, Midland, TX 79701-2030 | 2019-02-19 |
| 1730472432 | Luke Eye Associates, Lp | Optometrist | 200 W Interstate 20, Midland, TX 79701-2030 | 2011-05-27 |
| 1407941040 | Joy Lynn Luke | Optometrist | 200 W Interstate 20, Midland, TX 79701-2030 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1114325859 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2900 W. Loop 250 North, Suite 165, Midland, TX 79705 | 2014-12-11 |
| 1831431691 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 2900 W. Loop 250 North, Suite 165, Midland, TX 79705 | 2013-03-20 |
| 1790025583 | Rpm Vision Industries | Eyewear Supplier (Equipment, not the service) | 4400 N Midland Dr Ste 403, Midland, TX 79707-3388 | 2013-02-15 |
| 1942598230 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7207 Eastman Ave, Midland, MI 48642-7402 | 2011-07-20 |
| 1760583769 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 4511 North Midkiff Road, Midland, TX 79705 | 2006-09-25 |
| 1972552362 | Nichols Optical Inc | Eyewear Supplier (Equipment, not the service) | 6800 Eastman Ave, Suite 320, Midland, MI 48642-7810 | 2006-05-10 |
| 1316215668 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4511 N Midkiff Rd, Midland, TX 79705-3256 | 2011-12-01 |
| 1659533578 | Ronald Douglas Hardaway Hardaway's Economy Optical | Eyewear Supplier (Equipment, not the service) | 2211 W Texas Ave, Midland, TX 79701-6421 | 2008-07-01 |
| 1972772689 | Hamilton Optical | Eyewear Supplier (Equipment, not the service) | 2703 W Cuthbert Ave, Midland, TX 79701-3819 | 2008-02-27 |
| Find all providers in MIDLAND | ||||
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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.