WAL-MART STORES TEXAS, LP (NPI# 1093896193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093896193 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LP |
| Other Organization Name | VISION CENTER 30-0421 |
| Practice Address |
800 S Highway 287 Decatur TX 76234-1656 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9406275546 |
| 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 |
| 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 30-0421 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871768648 | Wal-mart Stores Texas, Lp | Eyewear Supplier (Equipment, not the service) | 6060 North Fry Road, Houston, TX 77449 | 2008-04-23 |
| 1205912789 | Wal-mart Stores Texas, Lp | Technician/Technologist | 603 E Highway 243, Canton, TX 75103-2420 | 2006-10-27 |
| 1023193331 | Wal-mart Stores Texas, Lp | Technician/Technologist | 201 Loop 59, Atlanta, TX 75551-2011 | 2006-10-26 |
| 1669555264 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1201 Stone Rd, Kilgore, TX 75662-5481 | 2006-10-24 |
| 1447334842 | Wal-mart Stores Texas, Lp | Technician/Technologist | 555 W Interstate 30, Garland, TX 75043-5729 | 2006-10-24 |
| 1245314756 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1521 Interstate 35 N, Bellmead, TX 76705-2466 | 2006-10-24 |
| 1588747083 | Wal-mart Stores Texas, Lp | Technician/Technologist | 2450 Nw Loop 338, Odessa, TX 79763-3201 | 2006-10-20 |
| 1578645487 | Wal-mart Stores Texas, Lp | Technician/Technologist | 735 E Highway 377, Granbury, TX 76048-2578 | 2006-10-19 |
| 1063594968 | Wal-mart Stores Texas, Lp | Technician/Technologist | 150 N Interstate 35 E, Lancaster, TX 75146-1844 | 2006-10-19 |
| 1245312214 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1521 Cockrell Hill Rd, Dallas, TX 75211-1315 | 2006-10-19 |
| Street Address |
800 S HIGHWAY 287 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858723 | Traci Lynn Brannon | Pharmacist | 800 S Highway 287, Decatur, TX 76234-1656 | 2019-12-13 |
| 1255686283 | Eric Cheng | Optometrist | 800 S Highway 287, Decatur, TX 76234-1656 | 2012-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427393206 | Vision Plus L.L.C. | Technician/Technologist | 3285 Midway Rd, 113, Decatur, GA 30032-2825 | 2012-12-04 |
| 1952634206 | Luis Felipe Roman | Technician/Technologist | 335 W Ponce De Leon Ave, Suite F, Decatur, GA 30030-2451 | 2009-09-17 |
| 1801916812 | Dan Martin Smyly | Technician/Technologist | 4765 Memorial Dr, Decatur, GA 30032-1417 | 2007-03-31 |
| 1306929955 | Wal-mart Stores, Inc | Technician/Technologist | 4224 N Prospect St, Decatur, IL 62526-6100 | 2006-10-24 |
| 1306217930 | Wal-mart Stores East, Lp | Technician/Technologist | 2525 N Decatur Rd, Decatur, GA 30033-6126 | 2015-10-08 |
| 1801292016 | Otis Weaver | Technician/Technologist | 4765 Memorial Dr, Decatur, GA 30032-1417 | 2014-11-16 |
| 1548489156 | John Marsh | Technician/Technologist | 1756 Candler Rd, Decatur, GA 30032-3277 | 2007-04-24 |
| 1457575680 | Fashion Optique Eyewear, Inc | Technician/Technologist | 2851 Candler Rd, Suite 100, Decatur, GA 30034-1412 | 2007-04-12 |
| 1336223973 | Wal-mart Stores, Inc | Technician/Technologist | 4625 E Maryland St, Decatur, IL 62521-5092 | 2006-10-24 |
| 1548350994 | Wal-mart Stores East, Lp | Technician/Technologist | 1700 S 13th St, Decatur, IN 46733-2190 | 2006-10-14 |
| Find all providers in DECATUR | ||||
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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.