WAL-MART STORES LOUISIANA, LLC (NPI# 1902989924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902989924 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES LOUISIANA, LLC |
| Other Organization Name | VISION CENTER 30-0541 |
| Practice Address |
880 N Highway 190 Covington LA 70433-5147 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 9858678701 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (NPI COORDINATOR) |
| Authorized Official Telephone | 3167885580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-0541 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326127622 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1229 Ne Evangeline Thruway, Lafayette, LA 70501 | 2006-11-06 |
| 1326126111 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1629 Creswell Ln Ext, Opelousas, LA 70570-7815 | 2006-11-01 |
| 1386720621 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1633 Martin Luther King Blvd, Houma, LA 70360 | 2006-10-30 |
| 1093898959 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 5801 Main St., Zachary, LA 70791 | 2006-10-23 |
| 1184707044 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 6235 W Port Ave, Shreveport, LA 71129-2503 | 2006-10-23 |
| 1497824874 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2006-11-07 |
| 1669550018 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3132 College Dr, Baton Rouge, LA 70808-3119 | 2006-11-02 |
| 1831277292 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 2171 Oneal Ln, Baton Rouge, LA 70816-3206 | 2006-11-02 |
| 1740368109 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 5110 Jefferson Hwy, Harahan, LA 70123-5302 | 2006-11-02 |
| 1144308370 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 4810 Lapalco Blvd, Marrero, LA 70072-4326 | 2006-11-02 |
| Street Address |
880 N HIGHWAY 190 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326015751 | Earl Joseph Primo | Optometrist | 880 N Highway 190, Covington, LA 70433-5147 | 2006-03-03 |
| 1609356260 | Thu Le | Pharmacist | 880 N Highway 190, Covington, LA 70433-5147 | 2018-08-14 |
| 1477954766 | Renee Gardebled | Pharmacist | 880 N Highway 190, Covington, LA 70433-5147 | 2014-09-06 |
| 1891136776 | Nicholas Drew O'connell | Pharmacist | 880 N Highway 190, Covington, LA 70433-5147 | 2013-07-08 |
| 1639419328 | Mark Siverd Od LLC | Optometrist | 880 N Highway 190, Covington, LA 70433-5147 | 2013-02-18 |
| 1558502971 | Earl J Primo Ms Od LLC | Optometrist | 880 N Highway 190, Covington, LA 70433-5147 | 2009-03-14 |
| 1871690883 | Mark Siverd | Optometrist | 880 N Highway 190, Covington, LA 70433-5147 | 2006-09-20 |
| 1245257583 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 880 N Highway 190, Covington, LA 70433-5147 | 2006-07-16 |
| 1710916978 | Melanie Nuss | Nurse Practitioner | 880 N Highway 190, Covington, LA 70433-5147 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760045231 | Nancy M Naiser | Technician/Technologist | 140 W Pike St, Covington, KY 41011-2310 | 2019-04-19 |
| 1134683600 | National Vision Inc | Technician/Technologist | 3159 Highway 278 Ne, Covington, GA 30014-2301 | 2019-01-29 |
| 1720582992 | Amos D Washington | Technician/Technologist | 10269 Industrial Blvd Ne, Covington, GA 30014-1485 | 2018-03-21 |
| 1780880609 | Wal-mart Stores East, Lp | Technician/Technologist | 10300 Industrial Blvd, Covington, GA 30015 | 2007-06-26 |
| 1700986601 | Wal-mart Stores East, Lp | Technician/Technologist | 2201 Lanny Bridges Ave., Covington, TN 38019 | 2006-09-22 |
| 1043560352 | Sams East Inc | Technician/Technologist | 69630 Stirling Blvd, Covington, LA 70433-4620 | 2012-09-13 |
| 1821369356 | Wal-mart Stores East Lp | Technician/Technologist | 4200 Salem Rd, Covington, GA 30016 | 2012-01-13 |
| 1134246705 | Larry J Naiser | Technician/Technologist | 140 W Pike St, Covington, KY 41011-2310 | 2007-03-26 |
| 1366524480 | Wal-mart Stores East, Lp | Technician/Technologist | 313 Thacker Ave, Covington, VA 24426-2264 | 2006-10-19 |
| 1376624312 | Wal-mart Stores, Inc | Technician/Technologist | 17432 Se 270th Pl, Covington, WA 98042-4962 | 2006-10-18 |
| Find all providers in COVINGTON | ||||
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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.