WAL-MART STORES LOUISIANA, LLC (NPI# 1316020183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316020183 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES LOUISIANA, LLC |
| Other Organization Name | VISION CENTER 30-1204 |
| Practice Address |
3451 Nelson Rd Lake Charles LA 70605-1209 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 3374773785 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (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 30-1204 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326127622 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1229 Ne Evangeline Thruway, Lafayette, LA 70501 | 2006-11-06 |
| 1326126111 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1629 Creswell Ln Ext, Opelousas, LA 70570-7815 | 2006-11-01 |
| 1386720621 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1633 Martin Luther King Blvd, Houma, LA 70360 | 2006-10-30 |
| 1093898959 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 5801 Main St., Zachary, LA 70791 | 2006-10-23 |
| 1184707044 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 6235 W Port Ave, Shreveport, LA 71129-2503 | 2006-10-23 |
| 1497824874 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2006-11-07 |
| 1669550018 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3132 College Dr, Baton Rouge, LA 70808-3119 | 2006-11-02 |
| 1831277292 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 2171 Oneal Ln, Baton Rouge, LA 70816-3206 | 2006-11-02 |
| 1740368109 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 5110 Jefferson Hwy, Harahan, LA 70123-5302 | 2006-11-02 |
| 1144308370 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 4810 Lapalco Blvd, Marrero, LA 70072-4326 | 2006-11-02 |
| Street Address |
3451 NELSON RD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984889 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2006-07-16 |
| 1609395367 | Laney Doucett Ebersole | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2017-09-13 |
| 1386096212 | Peter Feinberg | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2016-07-03 |
| 1548669898 | Arezou Seadet | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-21 |
| 1053710988 | Nancy Edwards | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-15 |
| 1093114209 | Allison Louviere | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-14 |
| 1427457506 | Kristopher Chad Hobgood | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-14 |
| 1023444643 | Michael Mccauley | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2013-09-16 |
| 1073873246 | Blake Everett Price | Dentist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2012-05-22 |
| 1215230412 | Starfish Lake Charles | Dentist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710202932 | America's Best Contacts & Eyeglasses | Technician/Technologist | 800 W Prien Lake Rd, Lake Charles, LA 70601-8379 | 2010-03-30 |
| 1366528762 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3415 Us 14, Lake Charles, LA 70607 | 2006-10-27 |
| 1467535500 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 2500 N Martin Luther King Hwy, Lake Charles, LA 70601-1307 | 2006-10-23 |
| 1538256441 | Sam's Club Optical | Technician/Technologist | 2025 Sams Way, Lake Charles, LA 70601 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374225 | Maya M Robair | Technician/Technologist | 2601 N Hullen St Ste 206, Metairie, LA 70002-5939 | 2020-07-28 |
| 1396201869 | National Vision Inc | Technician/Technologist | 3050 Holiday Dr, New Orleans, LA 70131-8232 | 2019-02-20 |
| 1942773965 | National Vision Inc | Technician/Technologist | 3221 Louisiana Ave Ste 104, Lafayette, LA 70501-1413 | 2019-01-03 |
| 1336633528 | Cherie Lewis | Technician/Technologist | 257 Lee Dr Ste B, Baton Rouge, LA 70808-4977 | 2018-06-20 |
| 1164942629 | National Vision, Inc. | Technician/Technologist | 312 Palace Dr, Hammond, LA 70403-6071 | 2017-06-26 |
| 1760926935 | Smarter Eyewear LLC | Technician/Technologist | 3535 Perkins Rd Ste 330, Baton Rouge, LA 70808-2292 | 2016-12-07 |
| 1336513993 | Wal-mart Stores East, Lp | Technician/Technologist | 4701 Nothport Blvd, Shreveport, LA 71107 | 2015-11-19 |
| 1780097667 | Sam's East, Inc | Technician/Technologist | 2861 Beene Blvd, Bossier City, LA 71111-5575 | 2014-06-09 |
| 1184047169 | Wal-mart Stores East, Lp | Technician/Technologist | 1331 Hwy 51, Ponchatoula, LA 70454 | 2014-01-28 |
| 1881026110 | John Olan Cook | Technician/Technologist | 3535 Perkins Rd, Suite 330, Baton Rouge, LA 70808-2262 | 2013-08-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on WAL-MART STORES LOUISIANA, LLC.
| 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.