WAL-MART STORES TEXAS LLC (NPI# 1285978692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285978692 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS LLC |
| Other Organization Name | WAL-MART PHARMACY 30-3044 |
| Practice Address |
2900 Renaissance Square Fort Worth TX 76105 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8179001912 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | AMY POWERS (SPECIALIST, PLAN ENROLLMENT) |
| Authorized Official Telephone | 4792040709 |
| 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 |
|---|---|
| Wal-Mart Pharmacy 30-3044 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922532779 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 20310 Us 59, New Caney, TX 77357 | 2017-04-19 |
| 1285168039 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 500 Richland Boulevard, Prosper, TX 75078 | 2017-04-19 |
| 1366976060 | Wal-mart Stores Texas LLC | Pharmacy | 13322 West Airport Blvd, Sugar Land, TX 77478 | 2017-04-19 |
| 1215475736 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 22850 Morton Ranch Rd, Katy, TX 77449-2154 | 2017-02-03 |
| 1134667645 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 521 S. Central Express Way, Anna, TX 75409 | 2017-02-03 |
| 1245777895 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-01-20 |
| 1326599754 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 25800 Kuykendahl Rd, Tomball, TX 77375-2892 | 2016-10-20 |
| 1396296711 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 733 Sun Valley Blvd, Hewitt, TX 76643-3535 | 2016-10-20 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1801344874 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1619 Ambler Ave, Abilene, TX 79601-2235 | 2016-09-19 |
| Street Address |
2900 RENAISSANCE SQUARE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| 1174915805 | Sun A Chung | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-04 |
| Find all providers in zip 76105 | ||||
| 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 |
|---|---|---|---|---|
| 1003327982 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1653 River Run, Fort Worth, TX 76107 | 2017-10-18 |
| 1407398092 | Bill Dillard | Eyewear Supplier (Equipment, not the service) | 6900 South Fwy Ste A7, Fort Worth, TX 76134-3869 | 2016-11-14 |
| 1366804726 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2301 Porter Creek Dr Ste 217, Fort Worth, TX 76177-2336 | 2016-03-24 |
| 1669873857 | 20-20 Express--dallas LLC | Eyewear Supplier (Equipment, not the service) | 4614 Sw Loop 820, Fort Worth, TX 76109-4418 | 2014-09-08 |
| 1477830941 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2530 Green Oaks Rd, Ste. K314, Fort Worth, TX 76116-1761 | 2011-11-10 |
| 1932423175 | New Columbian Optical Company | Eyewear Supplier (Equipment, not the service) | 4951 S Hulen St, Fort Worth, TX 76132-1407 | 2010-03-17 |
| 1902060056 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 9549 Sage Meadow Trl, Fort Worth, TX 76177-8595 | 2008-07-17 |
| 1669656799 | Patmick LLC | Eyewear Supplier (Equipment, not the service) | 2255 8th Ave, Fort Worth, TX 76110-1812 | 2007-12-26 |
| 1184824948 | Adair Visual Inc. | Eyewear Supplier (Equipment, not the service) | 4701 West Freeway, Suite 200, Fort Worth, TX 76107 | 2007-07-20 |
| 1063548089 | Kara C. Nguyen Od Pa | Eyewear Supplier (Equipment, not the service) | 2832 S Hulen St, Fort Worth, TX 76109-1514 | 2007-02-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on WAL-MART STORES TEXAS 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.