WAL-MART STORES TEXAS, LP (NPI# 1356422737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356422737 |
Entity Type | Organization |
Organization Name | WAL-MART STORES TEXAS, LP |
Other Organization Name | VISION CENTER 30-0180 |
Practice Address |
1311 S Jackson St Jacksonville TX 75766-3050 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 9035893434 |
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 30-0180 | 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 |
1311 S JACKSON ST |
City | JACKSONVILLE |
State | TX |
Zip Code | 75766-3050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447277611 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1311 S Jackson St, Jacksonville, TX 75766-3050 | 2006-07-16 |
1295336576 | Lauren Lee | Pharmacist | 1311 S Jackson St, Jacksonville, TX 75766-3050 | 2020-11-04 |
1699210799 | Dental Zone Pllc | Dentist | 1311 S Jackson St, Suite G, Jacksonville, TX 75766-3050 | 2016-12-28 |
1114028289 | Raymond D Boone | Optometrist | 1311 S Jackson St, Suite A, Jacksonville, TX 75766-3050 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
Find all providers in zip 75766 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851868087 | National Vision Inc | Technician/Technologist | 6752 Normandy Blvd, Jacksonville, FL 32205-2202 | 2018-10-25 |
1417435470 | Vision Benefits 4 All, Inc. | Technician/Technologist | 9424 Baymeadows Rd Ste 250, Jacksonville, FL 32256 | 2018-08-01 |
1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
1174989305 | Wal-mart Stores East, Lp | Technician/Technologist | 7075 Collins Rd, Jacksonville, FL 32244-5041 | 2016-01-04 |
1346589017 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6001 Argyle Forest Blvd Ste 18b-19, Jacksonville, FL 32244-6664 | 2013-01-31 |
1760758296 | America's Best Contacts & Eyeglasses | Technician/Technologist | 10991 San Jose Blvd Ste 32, Jacksonville, FL 32223-6635 | 2012-03-29 |
1932472362 | America's Best Contacts & Eyeglasses | Technician/Technologist | 13221 City Station Dr Ste 153, Jacksonville, FL 32218-7251 | 2012-02-15 |
1932374311 | Jonathan P Lockerman | Technician/Technologist | 9430 Arlington Expy, 9430 Arlington Expy, Jacksonville, FL 32225-8231 | 2008-04-25 |
1962617746 | John O Wilcox | Technician/Technologist | 47 W Adams St, Jacksonville, FL 32202-3601 | 2007-05-14 |
1164649505 | Optical Shoppe of Jax Inc | Technician/Technologist | 3636 University Blvd S A-1, Jacksonville, FL 32216-4210 | 2007-04-19 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 75766 |
Please comment or provide details below to improve the information on WAL-MART STORES TEXAS, LP.
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.