WAL-MART STORES LOUISIANA, LLC (NPI# 1942385596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942385596 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES LOUISIANA, LLC |
| Other Organization Name | VISION CENTER 30-0149 |
| Practice Address |
184 Old Winnfield Rd Jonesboro LA 71251-5902 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 3182594149 |
| Enumeration Date | 2006-10-25 |
| 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 30-0149 | 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 |
184 OLD WINNFIELD RD |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336166693 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 184 Old Winnfield Rd, Jonesboro, LA 71251-5902 | 2006-07-16 |
| 1003228495 | Miranda Horton Savana | Pharmacist | 184 Old Winnfield Rd, Jonesboro, LA 71251-5902 | 2014-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| Find all providers in zip 71251 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225320336 | Sharon Chenell Mitchell | Technician/Technologist | 6525 Tara Blvd # 134, Jonesboro, GA 30236-1227 | 2011-05-07 |
| 1912912635 | Us Vision Optical Inc | Technician/Technologist | 1901 S Caraway Rd, Jonesboro, AR 72401-5342 | 2006-07-30 |
| 1538231352 | Wal-mart Stores, Inc. | Technician/Technologist | 1911 W Parker Rd, Jonesboro, AR 72404-8465 | 2006-11-15 |
| 1164505640 | Wal-mart Stores, Inc. | Technician/Technologist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374225 | Maya M Robair | Technician/Technologist | 2601 N Hullen St Ste 206, Metairie, LA 70002-5939 | 2020-07-28 |
| 1396201869 | National Vision Inc | Technician/Technologist | 3050 Holiday Dr, New Orleans, LA 70131-8232 | 2019-02-20 |
| 1942773965 | National Vision Inc | Technician/Technologist | 3221 Louisiana Ave Ste 104, Lafayette, LA 70501-1413 | 2019-01-03 |
| 1336633528 | Cherie Lewis | Technician/Technologist | 257 Lee Dr Ste B, Baton Rouge, LA 70808-4977 | 2018-06-20 |
| 1164942629 | National Vision, Inc. | Technician/Technologist | 312 Palace Dr, Hammond, LA 70403-6071 | 2017-06-26 |
| 1760926935 | Smarter Eyewear LLC | Technician/Technologist | 3535 Perkins Rd Ste 330, Baton Rouge, LA 70808-2292 | 2016-12-07 |
| 1336513993 | Wal-mart Stores East, Lp | Technician/Technologist | 4701 Nothport Blvd, Shreveport, LA 71107 | 2015-11-19 |
| 1780097667 | Sam's East, Inc | Technician/Technologist | 2861 Beene Blvd, Bossier City, LA 71111-5575 | 2014-06-09 |
| 1184047169 | Wal-mart Stores East, Lp | Technician/Technologist | 1331 Hwy 51, Ponchatoula, LA 70454 | 2014-01-28 |
| 1881026110 | John Olan Cook | Technician/Technologist | 3535 Perkins Rd, Suite 330, Baton Rouge, LA 70808-2262 | 2013-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAL-MART STORES LOUISIANA, 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.