WAL-MART STORES TEXAS LLC (NPI# 1407120868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407120868 |
Entity Type | Organization |
Organization Name | WAL-MART STORES TEXAS LLC |
Other Organization Name | WAL-MART VISION CENTER 30-5947 |
Practice Address |
5631 Dyer St El Paso TX 79904-6204 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 9155643579 |
Enumeration Date | 2012-03-02 |
Last Update Date | 2013-06-06 |
Authorized Official Name | LAURA LEVINE (MANAGER, GOV'T 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 30-5947 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922532779 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 20310 Us 59, New Caney, TX 77357 | 2017-04-19 |
1285168039 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 500 Richland Boulevard, Prosper, TX 75078 | 2017-04-19 |
1366976060 | Wal-mart Stores Texas LLC | Pharmacy | 13322 West Airport Blvd, Sugar Land, TX 77478 | 2017-04-19 |
1215475736 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 22850 Morton Ranch Rd, Katy, TX 77449-2154 | 2017-02-03 |
1134667645 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 521 S. Central Express Way, Anna, TX 75409 | 2017-02-03 |
1245777895 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-01-20 |
1326599754 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 25800 Kuykendahl Rd, Tomball, TX 77375-2892 | 2016-10-20 |
1396296711 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 733 Sun Valley Blvd, Hewitt, TX 76643-3535 | 2016-10-20 |
1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
1801344874 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1619 Ambler Ave, Abilene, TX 79601-2235 | 2016-09-19 |
Street Address |
5631 DYER ST |
City | EL PASO |
State | TX |
Zip Code | 79904-6204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225695885 | Samir Zaki Yusuf | Pharmacist | 5631 Dyer St, El Paso, TX 79904-6204 | 2019-05-20 |
1023383981 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 5631 Dyer St, El Paso, TX 79904-6204 | 2012-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700385762 | Matthew Jacob Lares | Physical Therapist | 4242 Hondo Pass Drive Suite 110, El Paso, TX 79904 | 2018-02-06 |
1598263170 | Jennifer Suzanne Banks | Registered Nurse | 7760 Alabama Street, El Paso, TX 79904 | 2018-01-29 |
1508306796 | Jacqueline Gazelle Romero | Specialist/Technologist | 4601 Hondo Pass Dr Ste A, El Paso, TX 79904 | 2017-03-07 |
1306215967 | Dsi El Paso North, LLC | Clinic/Center | 3359 Fred Wilson Avenue, El Paso, TX 79904 | 2015-09-24 |
1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
1154617819 | Edward J Valdez | Durable Medical Equipment & Medical Supplies | 8888 Dyer St Ste 102, El Paso, TX 79904 | 2011-06-21 |
1548469521 | Wainwright Family Resource Center | Pediatrics | 4417 Tetons, El Paso, TX 79904 | 2007-07-11 |
1730256355 | Luis Raul Munoz | Pediatrics | 2900 N. Kansas St, El Paso, TX 79904 | 2006-11-29 |
1912012139 | Travis M Hausler | Dentist | 4721 Sierra Madre, El Paso, TX 79904 | 2006-08-20 |
1962422097 | Alexandra Jordan | Nurse Practitioner | 4417 Tetons Drive, El Paso, TX 79904 | 2006-07-20 |
Find all providers in zip 79904 |
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 |
---|---|---|---|---|
1891226171 | Orla Sales Dba Crystal Optical | Eyewear Supplier (Equipment, not the service) | 615 N Zaragoza Rd Ste 66, El Paso, TX 79907-4772 | 2017-03-27 |
1255879540 | Reme Vision Corp. | Eyewear Supplier (Equipment, not the service) | 12040 Tierra Este Rd. Ste. A107, El Paso, TX 79938-4672 | 2017-02-07 |
1497196802 | Sakilab, Inc | Eyewear Supplier (Equipment, not the service) | 5738 Trowbridge Dr, El Paso, TX 79925-3341 | 2013-07-13 |
1114266681 | Premier Optical Incorporated | Eyewear Supplier (Equipment, not the service) | 2921 George Dieter Dr Ste D, El Paso, TX 79936-2945 | 2013-02-04 |
1184975369 | Veinte Veinte Joe Battle, LLC | Eyewear Supplier (Equipment, not the service) | 1830 Joe Battle Blvd, Suite 101, El Paso, TX 79936-1145 | 2012-09-27 |
1528326121 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 1156 Barranca Dr, El Paso, TX 79935-5002 | 2012-05-02 |
1215205570 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8401 Gateway Blvd W Sppo5a, El Paso, TX 79925-5668 | 2011-12-01 |
1548549405 | U S Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 1950 Joe Battle Blvd, El Paso, TX 79938-2629 | 2011-08-10 |
1740595404 | Veinte Veinte Group, LLC. | Eyewear Supplier (Equipment, not the service) | 8080 Gateway Blvd E Ste 101, El Paso, TX 79907-1276 | 2010-08-18 |
1255570834 | Perfect Optical Ltd | Eyewear Supplier (Equipment, not the service) | 1830 N Zaragoza Rd, Suite 108, El Paso, TX 79936-7961 | 2009-02-05 |
Find all providers in EL PASO |
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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.