WAL-MART STORES TEXAS, LP (NPI# 1154404739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154404739 |
Entity Type | Organization |
Organization Name | WAL-MART STORES TEXAS, LP |
Other Organization Name | VISION CENTER 30-0398 |
Practice Address |
515 E Loop 281 Longview TX 75605-5001 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 9036634446 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LINDA M. EPPERSON (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 30-0398 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871768648 | Wal-mart Stores Texas, Lp | Eyewear Supplier (Equipment, not the service) | 6060 North Fry Road, Houston, TX 77449 | 2008-04-23 |
1205912789 | Wal-mart Stores Texas, Lp | Technician/Technologist | 603 E Highway 243, Canton, TX 75103-2420 | 2006-10-27 |
1023193331 | Wal-mart Stores Texas, Lp | Technician/Technologist | 201 Loop 59, Atlanta, TX 75551-2011 | 2006-10-26 |
1669555264 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1201 Stone Rd, Kilgore, TX 75662-5481 | 2006-10-24 |
1447334842 | Wal-mart Stores Texas, Lp | Technician/Technologist | 555 W Interstate 30, Garland, TX 75043-5729 | 2006-10-24 |
1245314756 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1521 Interstate 35 N, Bellmead, TX 76705-2466 | 2006-10-24 |
1588747083 | Wal-mart Stores Texas, Lp | Technician/Technologist | 2450 Nw Loop 338, Odessa, TX 79763-3201 | 2006-10-20 |
1578645487 | Wal-mart Stores Texas, Lp | Technician/Technologist | 735 E Highway 377, Granbury, TX 76048-2578 | 2006-10-19 |
1063594968 | Wal-mart Stores Texas, Lp | Technician/Technologist | 150 N Interstate 35 E, Lancaster, TX 75146-1844 | 2006-10-19 |
1245312214 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1521 Cockrell Hill Rd, Dallas, TX 75211-1315 | 2006-10-19 |
Street Address |
515 E LOOP 281 |
City | LONGVIEW |
State | TX |
Zip Code | 75605-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720001993 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 515 E Loop 281, Longview, TX 75605-5001 | 2006-07-26 |
1811598394 | Aksa Abraham | Pharmacist | 515 E Loop 281, Longview, TX 75605-5001 | 2020-11-03 |
1457952798 | Bashar Al Aboosi | Pharmacist | 515 E Loop 281, Longview, TX 75605-5098 | 2020-11-03 |
1295335768 | Shenouda Mourgan | Pharmacist | 515 E Loop 281, Longview, TX 75605-5001 | 2020-10-26 |
1609362425 | Kim Do | Pharmacist | 515 E Loop 281, Longview, TX 75605-5001 | 2018-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
Find all providers in zip 75605 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891243762 | National Vision, Inc. | Technician/Technologist | 1711 W Loop 281, Longview, TX 75604-2734 | 2016-09-20 |
1063791721 | Sams East Inc | Technician/Technologist | 3310 N 4th St, Longview, TX 75605-7954 | 2011-08-12 |
1962714956 | National Vision, Inc. | Technician/Technologist | 3098 N Eastman Rd Ste 100, Longview, TX 75605-5176 | 2010-07-08 |
1578651048 | Melvin Clyde Merrell | Technician/Technologist | 1230 Seventh Ave., Longview, WA 98632 | 2006-10-10 |
1649575291 | Charles L. Heaton, Md, Pa | Technician/Technologist | 1205 N 6th St, Longview, TX 75601-5539 | 2011-01-12 |
1205054103 | Lenore's Optical | Technician/Technologist | 1339 Commerce Ave, Suite 101, Longview, WA 98632-3738 | 2007-04-23 |
1528199882 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4006 Estes Pkwy, Longview, TX 75603-1712 | 2007-03-08 |
1326180076 | Tammy L Johnson | Technician/Technologist | 1339 Commerce Ave, Suite 101, Longview, WA 98632-3738 | 2007-02-12 |
1205917648 | Wa-mart Stores Texas, Lp | Technician/Technologist | 2440 Gilmer Rd, Longview, TX 75604-2134 | 2006-10-18 |
1376633370 | Wal-mart Stores, Inc | Technician/Technologist | 540 7th Ave, Longview, WA 98632 | 2006-10-13 |
Find all providers in LONGVIEW |
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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.