WAL-MART STORES TEXAS, LLC (NPI# 1790869360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790869360 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WAL-MART VISION CENTER 30-2980 |
| Practice Address |
8520 N Beach St Fort Worth TX 76244-4918 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8175146090 |
| Practice Fax Number | 8175149689 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774337 |
| Enumeration Date | 2006-10-24 |
| 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 30-2980 | 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 |
8520 N BEACH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601278 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 8520 N Beach St, Fort Worth, TX 76244-4918 | 2006-07-17 |
| 1336749837 | Kevin L Goins | Pharmacy | 8520 N Beach St, Fort Worth, TX 76244-4918 | 2020-10-26 |
| 1437784717 | Jennifer Pham | Optometrist | 8520 N Beach St, Fort Worth, TX 76244-4918 | 2020-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| 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 | 76244 |
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.