WAL-MART STORES TEXAS, LP (NPI# 1467533810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467533810 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LP |
| Other Organization Name | VISION CENTER 30-2123 |
| Practice Address |
6801 S Broadway Ave Tyler TX 75703-4733 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9035814296 |
| 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 30-2123 | 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 |
6801 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75703-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124047139 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 6801 S Broadway Ave, Tyler, TX 75703-4733 | 2006-07-19 |
| 1417557158 | Karen A Green | Pharmacist | 6801 S Broadway Ave, Tyler, TX 75703-4733 | 2020-10-30 |
| 1063012714 | Charlotte Strecker | Pharmacist | 6801 S Broadway Ave, Tyler, TX 75703-4733 | 2020-10-30 |
| 1336749704 | Angela Hughes Campbell | Pharmacist | 6801 S Broadway Ave, Tyler, TX 75703-4733 | 2020-10-27 |
| 1851877740 | Stephanie Seawright | Pharmacist | 6801 S Broadway Ave, Tyler, TX 75703-4733 | 2018-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952750325 | National Vision, Inc. | Technician/Technologist | 6710 S Broadway Ave, Ste100, Tyler, TX 75703-4755 | 2016-06-07 |
| 1912088352 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3820 Highway 64 W, Tyler, TX 75704-6924 | 2006-10-18 |
| 1972041374 | Wal-mart Stores Texas, LLC | Technician/Technologist | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-02-06 |
| 1508153347 | Eyeglass World | Technician/Technologist | 4901 S Broadway Ave, Tyler, TX 75703-1325 | 2011-06-30 |
| 1174610752 | Sam's Club Optical | Technician/Technologist | 2025 S Southwest Loop 323, Tyler, TX 75701-0763 | 2006-10-06 |
| 1912004375 | Wal-mart Stores Texas, LLC | Technician/Technologist | 5050 Troup Hwy, Tyler, TX 75707-1916 | 2006-09-20 |
| 1912923590 | East Texas Eye Care Associates LLC | Technician/Technologist | 2440 E 5th St, Tyler, TX 75701-3525 | 2006-07-15 |
| 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.