WAL-MART STORES LOUISIANA, LLC (NPI# 1669550018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669550018 |
Entity Type | Organization |
Organization Name | WAL-MART STORES LOUISIANA, LLC |
Other Organization Name | VISION CENTER 30-1206 |
Practice Address |
3132 College Dr Baton Rouge LA 70808-3119 |
Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
Practice Telephone | 2259529022 |
Enumeration Date | 2006-11-02 |
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 30-1206 | 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 |
1497824874 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3142 Ambassador Caffery Pkwy, Lafayette, LA 70506-7210 | 2006-11-07 |
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 |
3132 COLLEGE DR |
City | BATON ROUGE |
State | LA |
Zip Code | 70808-3119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154348407 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3132 College Dr, Baton Rouge, LA 70808-3180 | 2006-07-16 |
1104235381 | Karen Dearman Alexander | Pharmacist | 3132 College Dr, Baton Rouge, LA 70808-3180 | 2014-08-12 |
1093895559 | Xuan Anh Vu Nguyen | Optometrist | 3132 College Dr, Baton Rouge, LA 70808-3119 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
Find all providers in zip 70808 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336633528 | Cherie Lewis | Technician/Technologist | 257 Lee Dr Ste B, Baton Rouge, LA 70808-4977 | 2018-06-20 |
1760926935 | Smarter Eyewear LLC | Technician/Technologist | 3535 Perkins Rd Ste 330, Baton Rouge, LA 70808-2292 | 2016-12-07 |
1881026110 | John Olan Cook | Technician/Technologist | 3535 Perkins Rd, Suite 330, Baton Rouge, LA 70808-2262 | 2013-08-09 |
1750662474 | Eddie Dale Mcclure | Technician/Technologist | 5368 Kennesaw Dr, Baton Rouge, LA 70817-2555 | 2011-09-08 |
1619021375 | Ashley Monique Waters | Technician/Technologist | 12278 Plank Road, Baton Rouge, LA 70811 | 2007-01-22 |
1629621388 | Nam Nguyen | Technician/Technologist | 3535 Perkins Rd Ste 330, Baton Rouge, LA 70808-2292 | 2019-07-22 |
1821415779 | Wal-mart Stores East, Lp | Technician/Technologist | 10550 Burbank Dr, Baton Rouge, LA 70810-6468 | 2014-03-27 |
1740493089 | Eye Specialsits Eyewear,llc | Technician/Technologist | 7777 Hennessy Blvd, Suite 5000, Baton Rouge, LA 70808-4300 | 2007-05-07 |
1831234673 | Elite Eyewear, Inc | Technician/Technologist | 4848 North Blvd, Baton Rouge, LA 70806-4019 | 2007-02-20 |
1831277292 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 2171 Oneal Ln, Baton Rouge, LA 70816-3206 | 2006-11-02 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70808 |
Please comment or provide details below to improve the information on WAL-MART STORES LOUISIANA, 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.