WAL-MART STORE TEXAS, LLC (NPI# 1548391089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548391089 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORE TEXAS, LLC |
| Other Organization Name | WAL-MART VISION CENTER 30-5479 |
| Practice Address |
1548 Fm 685 Pflugerville TX 78660-3576 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5122520260 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-03-08 |
| 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 30-5479 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376674630 | Wal-mart Store Texas, LLC | Technician/Technologist | 12220 Fm 423 E, Frisco, TX 75034-5222 | 2007-03-08 |
| 1831602721 | Wal-mart Store Texas, LLC | Eyewear Supplier (Equipment, not the service) | 1350 N Main St, Vidor, TX 77662-3727 | 2017-11-14 |
| Street Address |
1548 FM 685 |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-3576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720279 | Jacqueline Brackens | Pharmacist | 1548 Fm 685, Pflugerville, TX 78660-3576 | 2020-11-05 |
| 1508467846 | Bhavini Patel | Pharmacist | 1548 Fm 685, Pflugerville, TX 78660-3576 | 2020-11-03 |
| 1114051257 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1548 Fm 685, Pflugerville, TX 78660-3576 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| 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 |
|---|---|---|---|---|
| 1124266523 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-01-23 |
| 1730677832 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1901 Kelly Lane, Pflugerville, TX 78660 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961096 | Eyetopia Optics, LLC | Eyewear Supplier (Equipment, not the service) | 1387 Sattler Rd, New Braunfels, TX 78132-2305 | 2020-08-07 |
| 1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
| 1427682657 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Town and Country Blvd Ste 110, Houston, TX 77024-4553 | 2020-02-26 |
| 1275163768 | Charles Kang | Eyewear Supplier (Equipment, not the service) | 2401 S Stemmons Fwy Ste 1130, Lewisville, TX 75067-2306 | 2020-01-23 |
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1831752260 | The Eyeglass Repair Guys LLC | Eyewear Supplier (Equipment, not the service) | 2825 N Main St Ste 300, Stafford, TX 77477-5565 | 2019-04-22 |
| 1255893947 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14791 Ih 35 N Ste 108, Selma, TX 78154-3464 | 2019-04-02 |
| 1619431681 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4078 Westheimer Rd, Houston, TX 77027-5008 | 2019-01-24 |
| 1790253243 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8815 Memorial Blvd Suite A, Port Arthur, TX 77640-1862 | 2018-11-02 |
| 1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
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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.