WAL-MART STORES TEXAS, LLC (NPI# 1275992570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275992570 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WALMART VISION CENTER 30-6898 |
| Practice Address |
11415 Quaker Avenue Lubbock TX 79423 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8063929609 |
| Practice Fax Number | 8063929608 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | SHANNON FARMER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771242 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Walmart Vision Center 30-6898 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194216143 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 26824 Fm 1093, Richmond, TX 77406 | 2018-05-25 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1619470770 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 5336 Golden Triangle Blvd, Fort Worth, TX 76244-4406 | 2018-03-15 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1225578529 | Wal-mart Stores Texas, LLC | Technician/Technologist | 22850 Morton Rach Rd, Katy, TX 77449 | 2017-03-06 |
| 1912445487 | Wal-mart Stores Texas, LLC | Technician/Technologist | 1151 Us Hwy 90 E, Castroville, TX 78009 | 2017-02-06 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| 1699123893 | Wal-mart Stores Texas, LLC | Technician/Technologist | 510 Kitty Hawk Rd, Universal City, TX 78148-3961 | 2016-05-27 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1144680539 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2901 Riley Fuzzell Road, Spring, TX 77386 | 2016-02-29 |
| Street Address |
11415 QUAKER AVENUE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| 1326324062 | Mhk Holdings, Inc | Home Health | 2505 B 79th St, Lubbock, TX 79423 | 2011-10-26 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356504559 | James Hamilton O.d. | Eyewear Supplier (Equipment, not the service) | 3016 50th St, Lubbock, TX 79413-4102 | 2008-07-08 |
| 1871791491 | Essilor Laboratories of America, L.p. | Eyewear Supplier (Equipment, not the service) | 5901 63rd St Ste B, Lubbock, TX 79424-2713 | 2007-07-05 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1194879015 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Slide Road and Loop 289, Ste G32, Lubbock, TX 79414-8448 | 2007-01-22 |
| 1942380795 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 6002 Slide Rd, Space G12, Lubbock, TX 79414-4310 | 2006-10-16 |
| 1780798538 | Professional Opticians, L.L.C. | Eyewear Supplier (Equipment, not the service) | 4020 21st St, Suite 1, Lubbock, TX 79410-1197 | 2006-08-18 |
| 1669495925 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6002 Slide Rd Bldg A, Lubbock, TX 79414-4310 | 2006-07-26 |
| 1861843260 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6064 Marsha Sharp Fwy, Lubbock, TX 79407-3726 | 2016-06-27 |
| 1235523556 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6020 34th Street, Lubbock, TX 79407 | 2015-03-25 |
| 1679971733 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6802 Slide Rd, Lubbock, TX 79424-1506 | 2014-12-05 |
| Find all providers in LUBBOCK | ||||
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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.