WAL-MART STORES LOUISIANA, LLC (NPI# 1497824874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497824874 |
Entity Type | Organization |
Organization Name | WAL-MART STORES LOUISIANA, LLC |
Other Organization Name | VISION CENTER 30-0531 |
Practice Address |
3142 Ambassador Caffery Pkwy Lafayette LA 70506-7210 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
Practice Telephone | 3379894082 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | NICOLE D GENTILE (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 30-0531 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326127622 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1229 Ne Evangeline Thruway, Lafayette, LA 70501 | 2006-11-06 |
1326126111 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1629 Creswell Ln Ext, Opelousas, LA 70570-7815 | 2006-11-01 |
1386720621 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1633 Martin Luther King Blvd, Houma, LA 70360 | 2006-10-30 |
1093898959 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 5801 Main St., Zachary, LA 70791 | 2006-10-23 |
1184707044 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 6235 W Port Ave, Shreveport, LA 71129-2503 | 2006-10-23 |
1669550018 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3132 College Dr, Baton Rouge, LA 70808-3119 | 2006-11-02 |
1831277292 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 2171 Oneal Ln, Baton Rouge, LA 70816-3206 | 2006-11-02 |
1740368109 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 5110 Jefferson Hwy, Harahan, LA 70123-5302 | 2006-11-02 |
1144308370 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 4810 Lapalco Blvd, Marrero, LA 70072-4326 | 2006-11-02 |
1053499285 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 904 S Range Ave, Denham Springs, LA 70726-4802 | 2006-11-02 |
Street Address |
3142 AMBASSADOR CAFFERY PKWY |
City | LAFAYETTE |
State | LA |
Zip Code | 70506-7210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235156597 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2006-07-16 |
1013517739 | Jami Jenkins | Pharmacist | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2020-10-30 |
1417403106 | Dexter Salters | Pharmacist | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2016-08-31 |
1801295738 | Katy Babineaux | Pharmacist | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2014-08-15 |
1841699865 | Jessica Fontenot | Pharmacist | 3142 Ambassador Caffery Pkwy, Pharmacy, Lafayette, LA 70506-7210 | 2014-08-14 |
1477811701 | Menisan Thi Nguyen | Pharmacist | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2012-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
Find all providers in zip 70506 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942773965 | National Vision Inc | Technician/Technologist | 3221 Louisiana Ave Ste 104, Lafayette, LA 70501-1413 | 2019-01-03 |
1114277597 | Sams East Inc | Technician/Technologist | 3819 State Road 26 E, Lafayette, IN 47905-4872 | 2012-09-13 |
1285830117 | Wal-mart Stores, Inc. | Technician/Technologist | 745 North Hwy 287, Lafayette, CO 80026 | 2007-06-26 |
1326127622 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 1229 Ne Evangeline Thruway, Lafayette, LA 70501 | 2006-11-06 |
1891886669 | Wal-mart Stores East, Lp | Technician/Technologist | 2347 East 350 South, Lafayette, IN 47909 | 2006-09-27 |
1679580740 | Renee Marie Krajcar | Technician/Technologist | 6157 Rt 20 East, Lafayette, NY 13084 | 2006-08-02 |
1427395995 | Wal-mart Stores East Lp | Technician/Technologist | 2347 Veterans Memorial Pkwy S, Lafayette, IN 47909-9183 | 2013-01-03 |
1316025364 | Wal-mart Stores East, Lp | Technician/Technologist | 419 Highway 52 Byp W, Lafayette, TN 37083-1731 | 2006-11-01 |
1346325289 | Wal-mart Louisiana, LLC | Technician/Technologist | 2428 W Pinhook Rd, Lafayette, LA 70508-3345 | 2006-10-26 |
1447335021 | Sam's Club Optical | Technician/Technologist | 3222 Ambassador Caffery Pkwy, Lafayette, LA 70506-7208 | 2006-10-25 |
Find all providers in LAFAYETTE |
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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.