WAL-MART STORES TEXAS, LLC (NPI# 1326452160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326452160 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WAL-MART VISION CENTER 30-4162 |
| Practice Address |
12639 Blanco Rd San Antonio TX 78231 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2105916287 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | MS. LAURA LEVINE (DIRECTOR, HEALTHCARE CONTRACTING AN) |
| Authorized Official Telephone | 4792048550 |
| 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 Vision Center 30-4162 | 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 |
12639 BLANCO RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033641 | Samantha Martinez | Pharmacist | 12639 Blanco Rd, San Antonio, TX 78216-8103 | 2020-11-03 |
| 1255931424 | Marisa Mcbrayer | Pharmacist | 12639 Blanco Rd, San Antonio, TX 78216-8103 | 2020-10-27 |
| 1588078364 | Wal-mart Stores Texas LLC | Pharmacy | 12639 Blanco Rd, San Antonio, TX 78216-8103 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790229516 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3603 Paesanos Pkwy Ste 100, San Antonio, TX 78231 | 2016-12-13 |
| 1679945869 | Jocasta Castillo | Social Worker | Jewish Family Service of San Antonio, Tx, Inc., 12500 Nw Military Hwy Ste 250, San Antonio, TX 78231 | 2015-10-27 |
| 1710367297 | Amir Shahab Ashtiani | Dentist | 938 Wurzbach Pkwy Ste 107, San Antonio, TX 78231 | 2015-06-01 |
| 1386044303 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 919 Wurzbach Parkway, San Antonio, TX 78231 | 2014-08-27 |
| 1306165378 | Rex Elwyn Wildey | Dentist | 10003 Nw Military Hwy, Suite 3201, San Antonio, TX 78231 | 2010-05-28 |
| 1003065095 | Gomes Dental, PC | Dentist | 4115 Pond Hill Rd, Suite 102, Shavano Park, TX 78231 | 2008-09-15 |
| 1801966320 | William Michael Copeland | Dentist | 2397 C Nw Military Hwy, San Antonio, TX 78231 | 2006-11-09 |
| 1588766802 | Eugene G Krenzer Jr. | Counselor | 12500 North West Military Hwy #250, Jewish Family and Children's Services, San Antonio, TX 78231 | 2006-09-05 |
| 1760590442 | Arlene G. Dryer | Social Worker | Jfcs, 12500 N.w. Military Hwy., #250, San Antonio, TX 78231 | 2006-08-25 |
| 1083626154 | Paul Stephen Gibbs | Pharmacist | 3603 Paesanos Pkwy Ste 102, San Antonio, TX 78231 | 2006-08-13 |
| Find all providers in zip 78231 | ||||
| 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 |
|---|---|---|---|---|
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1053842286 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 12125 Alamo Ranch Parkway, San Antonio, TX 78253 | 2017-03-21 |
| 1760874457 | Alamo City Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1721 Sw Military Dr, San Antonio, TX 78221-1458 | 2015-03-04 |
| 1932506425 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5535 W Loop 1604 N, Ste 104, San Antonio, TX 78253-7316 | 2014-11-26 |
| 1487062261 | Thompson Eyes, LLC | Eyewear Supplier (Equipment, not the service) | 5327 Stormy Sunset, San Antonio, TX 78247-1851 | 2014-07-24 |
| 1285056200 | Mr Mikes 3995 Optical LLC | Eyewear Supplier (Equipment, not the service) | 5755 Nw Loop 410, Ste. 105, San Antonio, TX 78238-2502 | 2014-01-09 |
| 1609129501 | Huimaoung Inc | Eyewear Supplier (Equipment, not the service) | 1336 Sw Military Dr, #2, San Antonio, TX 78221-1575 | 2012-10-17 |
| 1881945061 | Veinte Veinte San Antonio | Eyewear Supplier (Equipment, not the service) | 6915 S Zarzamora St, Suite 107, San Antonio, TX 78224-1100 | 2012-09-27 |
| 1063770527 | Us Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 17710 La Cantera Pkwy, San Antonio, TX 78257 | 2012-05-02 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78231 |
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.