WAL-MART STORES TEXAS, LLC (NPI# 1447568050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447568050 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WAL-MART VISION CENTER 30-3763 |
| Practice Address |
12236 Montana Ave El Paso TX 79938-4851 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9152554035 |
| Practice Fax Number | 9159216895 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2013-06-26 |
| 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 30-3763 | 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 |
12236 MONTANA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79938-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497061485 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 12236 Montana Ave, El Paso, TX 79938-4851 | 2010-08-27 |
| 1740880384 | Eyasu Teshale | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2020-10-30 |
| 1699258822 | Annette Villalobos | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2018-09-13 |
| 1083166540 | Stephanie Leanne De Santiago | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2016-11-01 |
| 1215301445 | Jackie Ann Perriello | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2015-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047795 | Brooke Raanne Beaver | Behavioral Analyst | Wells Fargo Plaza, Kansas St # 700, El Paso, TX 79938 | 2019-11-15 |
| 1386109635 | Judith Roman | Nurse Practitioner | 12810 Edgemere, El Paso, TX 79938 | 2019-01-31 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1851868384 | Possibilities Speculation, Pllc | Dentist | 2260 N Zaragoza Rd Unit A112, El Paso, TX 79938 | 2018-11-02 |
| 1578030276 | Connor Family Dentistry East Pllc | Dentist | 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 | 2018-10-31 |
| 1952895039 | Marlen Hernandez Cortez | Behavior Technician | 15165 Snohomish Loop, El Paso, TX 79938 | 2018-06-21 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| 1619428703 | Sege Medical PC | Family Medicine | 2260 N Zaragoza, Suite A118, El Paso, TX 79938 | 2016-10-24 |
| 1891148110 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12051 Tierra Este Rd, El Paso, TX 79938 | 2016-07-21 |
| 1639538077 | Early Bird Pediatric Therapy Clinic, Inc | Occupational Therapist | 2114 N Zaragoza Rd Ste C1, El Paso, TX 79938 | 2016-02-13 |
| Find all providers in zip 79938 | ||||
| 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.