WAL-MART STORES, TEXAS, LLC (NPI# 1750464368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750464368 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, TEXAS, LLC |
| Other Organization Name | WAL-MART VISION CENTER 30-3773 |
| Practice Address |
9500 Clifford St Fort Worth TX 76108-4403 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8173670042 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-06-06 |
| 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 30-3773 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902274434 | Wal-mart Stores, Texas, LLC | Nurse Practitioner | 494 W Interstate 30, Royse City, TX 75189 | 2015-09-15 |
| Street Address |
9500 CLIFFORD ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76108-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962420729 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2006-07-18 |
| 1033693981 | Sophia La | Optometrist | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2018-09-17 |
| 1265914717 | Katie Michelle Washburn | Pharmacist | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2018-08-31 |
| 1528338472 | Advanced Eye Care of Texas Pllc | Optometrist | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2012-01-10 |
| 1134412190 | Dr. Gene Wong & Associates, P.a. | Optometrist | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2011-05-24 |
| 1538472683 | Tuanh Phan La | Optometrist | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2010-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1053778118 | Texas Prosmiles Pllc | Dentist | 9400 Clifford Street, Ste 110, Fort Worth, TX 76108 | 2016-01-20 |
| 1609275981 | Palo Pinto County Hospital District | Skilled Nursing Facility | 7820 Sklyline Park Drive, White Settlement, TX 76108 | 2014-08-22 |
| 1508274895 | Tbhh Investments LLC | Home Health | 403 S Jim Wright Fwy, Ste 160, White Settlement, TX 76108 | 2014-07-30 |
| 1366854267 | Alex Bonnette | Physical Therapist | 9660 Bartlett Cir Ste 708, Fort Worth, TX 76108 | 2014-05-27 |
| 1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
| 1760700017 | North Texas Ems | Ambulance | 321 Mesa Grande Dr, Fort Worth, TX 76108 | 2010-05-12 |
| 1801036868 | Gary Don Keel | Physician Assistant | #1 Lockheed Blvd., Lockheed Martin Aeronautics Company, Ft. Worth, TX 76108 | 2009-03-03 |
| 1942420211 | Tina Mclendon | Specialist/Technologist, Other | 332 Memory Dr, Fort Worth, TX 76108 | 2007-04-27 |
| 1700901766 | Jennifer E Gamez | Nurse Practitioner | 12001 S. Freeway Suite 205, Burleson, TX 76108 | 2007-03-20 |
| Find all providers in zip 76108 | ||||
| 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 |
|---|---|---|---|---|
| 1003327982 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1653 River Run, Fort Worth, TX 76107 | 2017-10-18 |
| 1407398092 | Bill Dillard | Eyewear Supplier (Equipment, not the service) | 6900 South Fwy Ste A7, Fort Worth, TX 76134-3869 | 2016-11-14 |
| 1366804726 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2301 Porter Creek Dr Ste 217, Fort Worth, TX 76177-2336 | 2016-03-24 |
| 1669873857 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 4614 Sw Loop 820, Fort Worth, TX 76109-4418 | 2014-09-08 |
| 1477830941 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2530 Green Oaks Rd, Ste. K314, Fort Worth, TX 76116-1761 | 2011-11-10 |
| 1932423175 | New Columbian Optical Company | Eyewear Supplier (Equipment, not the service) | 4951 S Hulen St, Fort Worth, TX 76132-1407 | 2010-03-17 |
| 1902060056 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 9549 Sage Meadow Trl, Fort Worth, TX 76177-8595 | 2008-07-17 |
| 1669656799 | Patmick LLC | Eyewear Supplier (Equipment, not the service) | 2255 8th Ave, Fort Worth, TX 76110-1812 | 2007-12-26 |
| 1184824948 | Adair Visual Inc. | Eyewear Supplier (Equipment, not the service) | 4701 West Freeway, Suite 200, Fort Worth, TX 76107 | 2007-07-20 |
| 1063548089 | Kara C. Nguyen Od Pa | Eyewear Supplier (Equipment, not the service) | 2832 S Hulen St, Fort Worth, TX 76109-1514 | 2007-02-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76108 |
Please comment or provide details below to improve the information on WAL-MART STORES, TEXAS, 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.