WAL-MART STORES TEXAS, LLC (NPI# 1750462149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750462149 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WAL-MART VISION CENTER 30-3383 |
| Practice Address |
4215 Canyon Dr Amarillo TX 79110-1105 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8063526360 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | LAURA LEVINE (MGR GOV CONTRACTING) |
| 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 |
|---|---|
| Wal-Mart Vision Center 30-3383 | 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 |
| 1699123893 | Wal-mart Stores Texas, LLC | Technician/Technologist | 510 Kitty Hawk Rd, Universal City, TX 78148-3961 | 2016-05-27 |
| 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 |
| Street Address |
4215 CANYON DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732166 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2006-07-16 |
| 1427658947 | Samantha Michelle Chandler | Pharmacist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2020-10-26 |
| 1649893876 | Kristofer Rice | Pharmacist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2020-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| Find all providers in zip 79110 | ||||
| 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 |
|---|---|---|---|---|
| 1568768026 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7701 I-40 W, Westgate Mall, Amarillo, TX 79121-0999 | 2011-02-01 |
| 1952581670 | Broome Professionals Pa | Eyewear Supplier (Equipment, not the service) | 3408 Olsen Blvd., Amarillo, TX 79109 | 2007-11-09 |
| 1376609537 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7701 Interstate 40w, Westgate Mall, Amarillo, TX 79160-9160 | 2006-12-29 |
| 1437213949 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7701 I40 W, Westgate Mall, Amarillo, TX 79121-0999 | 2006-12-20 |
| 1316036544 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 7701 W Interstate 40, Space 102, Amarillo, TX 79121-0999 | 2006-10-12 |
| 1225146079 | Bal 4 Eyes Inc | Eyewear Supplier (Equipment, not the service) | 7150 W Interstate 40, Amarillo, TX 79106-2503 | 2006-08-29 |
| 1740200518 | Eye Care Plus LLP | Eyewear Supplier (Equipment, not the service) | 7200 Sw 45th Ave, Suite 9, Amarillo, TX 79109-5084 | 2006-07-21 |
| 1184613366 | Wolflin Vision Clinic, L.l.p. | Eyewear Supplier (Equipment, not the service) | 2481 I-40 West, Amarillo, TX 79109-1852 | 2005-10-19 |
| 1952709990 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 200 Westgate Pkwy Unit L, Amarillo, TX 79121-1100 | 2014-12-08 |
| 1619245982 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 7701 W Interstate 40, Suite #102, Amarillo, TX 79121-0999 | 2011-12-01 |
| Find all providers in AMARILLO | ||||
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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.