WAL-MART STORES TEXAS, LLC (NPI# 1699123893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699123893 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WALMART VISION CENTER 30-4055 |
| Practice Address |
510 Kitty Hawk Rd Universal City TX 78148-3961 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 2105368544 |
| Practice Fax Number | 2105661221 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | SARAH LITTLE (DIR HEALTHCARE CONTRACT&ENROLLMENT) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALMART 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 364386801 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Vision Center 30-4055 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194216143 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 26824 Fm 1093, Richmond, TX 77406 | 2018-05-25 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1619470770 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 5336 Golden Triangle Blvd, Fort Worth, TX 76244-4406 | 2018-03-15 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1225578529 | Wal-mart Stores Texas, LLC | Technician/Technologist | 22850 Morton Rach Rd, Katy, TX 77449 | 2017-03-06 |
| 1912445487 | Wal-mart Stores Texas, LLC | Technician/Technologist | 1151 Us Hwy 90 E, Castroville, TX 78009 | 2017-02-06 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1144680539 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2901 Riley Fuzzell Road, Spring, TX 77386 | 2016-02-29 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| Street Address |
510 KITTY HAWK RD |
| City | UNIVERSAL CITY |
| State | TX |
| Zip Code | 78148-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426758 | Ashlee Caseres | Pharmacist | 510 Kitty Hawk Rd, Universal City, TX 78148-3961 | 2020-10-31 |
| 1881294668 | Quoc Minh Tran | Pharmacist | 510 Kitty Hawk Rd, Universal City, TX 78148-3961 | 2020-10-29 |
| 1588012876 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 510 Kitty Hawk Rd, Universal City, TX 78148-3961 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571579 | Lisandra Sanchez Valdes | Behavioral Analyst | 165 Palisades Dr. Apt 407, Universal City, TX 78148 | 2020-09-06 |
| 1508348293 | India Sheppard | Licensed Practical Nurse | 1165 Palisades Dr, Apt 1108, San Antonio, TX 78148 | 2018-08-30 |
| 1114417748 | Kiana Jade Whitlock | Behavior Technician | 122 West Lindbergh Blvd, Universal City, TX 78148 | 2018-05-18 |
| 1477068427 | Smile Workshop Universal City, Pllc | Dentist | 520 Kitty Hawk Dr, Universal City, TX 78148 | 2017-12-12 |
| 1891209383 | Advanced Health Chiropractic | Chiropractor | 433 Kitty Hawk Rd. Ste.#111, Building #1, Universal City, TX 78148 | 2017-11-20 |
| 1528572013 | Brandon U Pounds | Chiropractor | 433 Kitty Hawk Rd. Ste. #111, Building #1, Universal City, TX 78148 | 2017-11-20 |
| 1528514403 | Tu'sheila E Stewart | Counselor | 512 S. Bowie, Universal City, TX 78148 | 2016-08-30 |
| 1275878670 | Metx LLC | Audiologist-Hearing Aid Fitter | 918 Coronado Blvd, Universal City, TX 78148 | 2012-12-11 |
| 1790044139 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Randolph Afb Bldg. 1068, Universal City, TX 78148 | 2012-05-04 |
| 1154496354 | Thomas H Holmes | Dentist | 2202 Universal City Blvd, Universal City, TX 78148 | 2006-11-22 |
| Find all providers in zip 78148 | ||||
| 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 |
|---|---|---|---|---|
| 1790044139 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Randolph Afb Bldg. 1068, Universal City, TX 78148 | 2012-05-04 |
| 1174910764 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 630 3rd St W, Bldg. 1068, Universal City, TX 78148-5616 | 2015-04-21 |
| 1134395346 | Carrera Optical Inc. | Eyewear Supplier (Equipment, not the service) | 207 Pat Booker Rd, Universal City, TX 78148-4427 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961096 | Eyetopia Optics, LLC | Eyewear Supplier (Equipment, not the service) | 1387 Sattler Rd, New Braunfels, TX 78132-2305 | 2020-08-07 |
| 1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
| 1427682657 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Town and Country Blvd Ste 110, Houston, TX 77024-4553 | 2020-02-26 |
| 1275163768 | Charles Kang | Eyewear Supplier (Equipment, not the service) | 2401 S Stemmons Fwy Ste 1130, Lewisville, TX 75067-2306 | 2020-01-23 |
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1831752260 | The Eyeglass Repair Guys LLC | Eyewear Supplier (Equipment, not the service) | 2825 N Main St Ste 300, Stafford, TX 77477-5565 | 2019-04-22 |
| 1255893947 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14791 Ih 35 N Ste 108, Selma, TX 78154-3464 | 2019-04-02 |
| 1619431681 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4078 Westheimer Rd, Houston, TX 77027-5008 | 2019-01-24 |
| 1790253243 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8815 Memorial Blvd Suite A, Port Arthur, TX 77640-1862 | 2018-11-02 |
| 1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSAL CITY |
| Zip Code | 78148 |
Please comment or provide details below to improve the information on WAL-MART STORES TEXAS, 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.