WA-MART STORES TEXAS, LP (NPI# 1205917648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205917648 |
| Entity Type | Organization |
| Organization Name | WA-MART STORES TEXAS, LP |
| Other Organization Name | VISION CENTER 30-0399 |
| Practice Address |
2440 Gilmer Rd Longview TX 75604-2134 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9032971121 |
| Enumeration Date | 2006-10-18 |
| 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 30-0399 | Doing Business As Name - Organization |
| Street Address |
2440 GILMER RD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75604-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922057439 | Donald Joe Van Sandt | Optometrist | 2440 Gilmer Rd, Longview, TX 75604-2134 | 2006-05-10 |
| 1912924184 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2440 Gilmer Rd, Longview, TX 75604-2134 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972521 | Samantha Chanee Snorton | Registered Nurse | 136 Jester Circle, Longivew, TX 75604 | 2018-11-27 |
| 1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
| 1891233987 | Danielle Heard | Nutritionist | 1605 Glenrose St, Longview, TX 75604 | 2017-02-08 |
| 1932554110 | Nec Longview Emergency Center, Lp | Clinic/Center | 1801 W. Loop 281, Longview, TX 75604 | 2016-04-26 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1457601817 | Sherri Nussbaum | Counselor | 3400 West Marshall Suite 309, Austin Bank Building, Longview, TX 75604 | 2012-09-13 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| Find all providers in zip 75604 | ||||
| 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 |
| 1154404739 | Wal-mart Stores Texas, Lp | Technician/Technologist | 515 E Loop 281, Longview, TX 75605-5001 | 2006-10-24 |
| 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.