WAL-MART STORES EASTS, LP. (NPI# 1659819092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659819092 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EASTS, LP. |
| Other Organization Name | WALMART VISION CENTER 30-7301 |
| Practice Address |
3810 Ne Evangeline Trwy Carencro LA 70520-5966 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 3375203009 |
| Practice Fax Number | 3378969698 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACT&ENROLLMENT) |
| 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 |
|---|---|
| Walmart Vision Center 30-7301 | Doing Business As Name - Organization |
| Street Address |
3810 NE EVANGELINE TRWY |
| City | CARENCRO |
| State | LA |
| Zip Code | 70520-5966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750828000 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3810 Ne Evangeline Trwy, Carencro, LA 70520-5966 | 2017-01-25 |
| 1437640554 | Hang Taylor Luong | Pharmacist | 3810 Ne Evangeline Trwy, Carencro, LA 70520-5966 | 2018-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294740 | Cher Md Clinic LLC | Family Medicine | 4605 N Unveristy Ave, Carencro, LA 70520 | 2020-01-14 |
| 1912460437 | Bumgardner Family Dental, Apdc | Dentist | 4306 N. University, Carencro, LA 70520 | 2019-04-11 |
| 1356857684 | Datrian Danielle Malveaux | Case Manager/Care Coordinator | 112 Endicott Dr, Carencro, LA 70520 | 2017-12-22 |
| 1659739977 | Raven Martin | Counselor | 109 Sunny Oak Trl, Carencro, LA 70520 | 2016-02-01 |
| 1083083976 | Nicholas John Richards | Dentist | 114 Derek Plaza Ste E, Dentures and Dental Services, Carencro, LA 70520 | 2015-09-21 |
| 1962870493 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 114 Derek Plaza, Ste E, Carencro, LA 70520 | 2015-09-15 |
| 1154722353 | Brandy Michelle Skidmore | Social Worker | 601 Teema Rd, Carencro, LA 70520 | 2014-09-08 |
| 1164768263 | Amy Ann Meneses | Social Worker | 601 Tee Ma Rd., Carencro, LA 70520 | 2012-12-17 |
| 1891060281 | Claudia Marcua Hall | Counselor | 129 Bradford Dr., Carencro, LA 70520 | 2012-03-19 |
| 1346496924 | Sharon Louise Wegher | Counselor | 104 Froeba Rd, Carencro, LA 70520 | 2008-08-14 |
| Find all providers in zip 70520 | ||||
| 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 |
|---|---|---|---|---|
| 1295369817 | Allemond and Jelks LLC | Eyewear Supplier (Equipment, not the service) | 4263 Hwy 1 S, Port Allen, LA 70767-5824 | 2020-02-24 |
| 1891340899 | Joseph E Humble and Raymond Haik, Ptrs | Eyewear Supplier (Equipment, not the service) | 1801 Auburn Ave, Monroe, LA 71201-5005 | 2019-08-06 |
| 1154976157 | Joseph E Humble and Raymond Haik, Ptrs | Eyewear Supplier (Equipment, not the service) | 138 Christian Dr, Rayville, LA 71269-3645 | 2019-08-06 |
| 1639696818 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3964 Magazine St, New Orleans, LA 70115-2664 | 2017-08-28 |
| 1447700240 | Jason Wonch, O.d. and Associates, A P.C. | Eyewear Supplier (Equipment, not the service) | 27306 Crossing Circle, Ste. 270, Denham Springs, LA 70726-5887 | 2016-10-05 |
| 1811446636 | Custom Optical N.o | Eyewear Supplier (Equipment, not the service) | 2416 Benefit St., New Orleans, LA 70122-4709 | 2016-09-22 |
| 1699139253 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 600 Town Center Pkwy # D600, Fremaux Town Center, Slidell, LA 70458-8006 | 2016-04-11 |
| 1407243181 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 455 Curtiss Rd, Bldg. 4711, Barksdale Afb, LA 71110-2423 | 2015-04-21 |
| 1932507928 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4415 Amb Caffery Pkwy, Suite 119, Lafayette, LA 70508-6771 | 2014-12-08 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| 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.