WAL-MART STORES TEXAS, LP (NPI# 1235221888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235221888 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LP |
| Other Organization Name | VISION CENTER 30-2724 |
| Practice Address |
1107 Shaver St Pasadena TX 77506-4405 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 7135346660 |
| Enumeration Date | 2006-09-29 |
| 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 30-2724 | 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 |
1107 SHAVER ST |
| City | PASADENA |
| State | TX |
| Zip Code | 77506-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922025030 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1107 Shaver St, Pasadena, TX 77506-4405 | 2006-07-16 |
| 1346840709 | Edward William Servin | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2020-10-27 |
| 1861025025 | Zeldia Houston Dewalt | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2020-02-17 |
| 1205483963 | Caroline Nguyen | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2019-08-19 |
| 1033765714 | Manuel Vera | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2019-08-17 |
| 1043724537 | James Nkansah | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2017-11-21 |
| 1003284324 | Toan Phan | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
| 1285276741 | Concepcion Salamanca | Technician | 507 Live Oak St., Pasadena, TX 77506 | 2019-10-16 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
| 1386080844 | Effie Juanita Wilkerson | Pharmacist | 927 East Shaw Rd, Pasadena, TX 77506 | 2013-05-10 |
| 1083988307 | Benjamin F Contreras | Dentist | 1027 Main Street, Suite A, Pasadena, TX 77506 | 2012-03-05 |
| 1386950699 | Yen Hoang Nguyen | Pharmacist | 927 East Shaw Road, Pasadena, TX 77506 | 2010-08-24 |
| 1104065135 | Rashmi Rode | Family Medicine | 927 E Shaw St, Pasadena, TX 77506 | 2009-02-15 |
| 1265687974 | Preethi Vijay Nambi | Internal Medicine | 927, E Shaw Road, Pasadena, TX 77506 | 2008-11-21 |
| 1841364676 | Dino J. Demetriou | Chiropractor | 1120 Pasadena Blvd, Pasadena, TX 77506 | 2006-11-20 |
| Find all providers in zip 77506 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1396285565 | National Vision, Inc. | Technician/Technologist | 3705 E Foothill Blvd, Pasadena, CA 91107-2202 | 2017-03-07 |
| 1194171363 | Haiming Yu | Technician/Technologist | 2375 E Colorado Blvd, Pasadena, CA 91107-4263 | 2016-05-06 |
| 1285778498 | Carl Hazarian | Technician/Technologist | 2595 E Washington Blvd Ste 105a, Pasadena, CA 91107-1409 | 2007-02-19 |
| 1841435690 | Donald C Ashmore Opticians Inc | Technician/Technologist | 65 N Madison Ave, Pasadena, CA 91101-2035 | 2008-12-09 |
| 1770743395 | Mark Donald Ashmore | Technician/Technologist | 65 N Madison Ave, Pasadena, CA 91101-2035 | 2008-06-17 |
| 1659585818 | Hamid Ommatyar | Technician/Technologist | 960 E Green St, #162, Pasadena, CA 91106-2401 | 2007-05-09 |
| 1437258332 | Wal-mart Stores Texas, Lp | Technician/Technologist | 5200 Fairmont Pkwy, Pasadena, TX 77505-3802 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095271 | Quyen Ngo Nguyen | Technician/Technologist | 1830 S Mason Rd Ste 125, Katy, TX 77450-3240 | 2020-02-20 |
| 1710522479 | Mikel Rivera | Technician/Technologist | 314 N Walnut St Ste C, Sherman, TX 75090-0047 | 2019-11-16 |
| 1740822501 | Eyeglasses of Texas | Technician/Technologist | 6200 Bellaire Blvd Ste J, Houston, TX 77081-4902 | 2019-10-14 |
| 1013558840 | Cristian Villagomez | Technician/Technologist | 2128 Kazmeier Plz, Bryan, TX 77802-3414 | 2019-10-02 |
| 1104393339 | National Vision Inc | Technician/Technologist | 2525 W Anderson Ln Ste 150, Austin, TX 78757-1180 | 2018-10-25 |
| 1063987618 | Stephen Williams | Technician/Technologist | 701 Commerce St Ste 629, Dallas, TX 75202-4522 | 2018-10-10 |
| 1174007207 | National Vision Inc | Technician/Technologist | 3916 Kemp Blvd Ste K, Wichita Falls, TX 76308-2119 | 2018-09-25 |
| 1295217032 | Richard D Reyes | Technician/Technologist | 115 E Travis St Ste 100, San Antonio, TX 78205-1668 | 2018-08-29 |
| 1205316890 | Katherine Denney | Technician/Technologist | 202 W Main St Ste 200-107, Allen, TX 75013-8094 | 2018-08-14 |
| 1407332497 | National Vision Inc | Technician/Technologist | 3649 Catclaw Dr, Abilene, TX 79606-8249 | 2018-07-13 |
| Find all providers with the same taxonomy | ||||
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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.