WAL-MART STORES TEXAS, LP (NPI# 1902904469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902904469 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LP |
| Other Organization Name | VISION CENTER 30-0746 |
| Practice Address |
3401 S 31st St Temple TX 76502-1902 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2547789235 |
| Enumeration Date | 2006-09-20 |
| 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 30-0746 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871768648 | Wal-mart Stores Texas, Lp | Eyewear Supplier (Equipment, not the service) | 6060 North Fry Road, Houston, TX 77449 | 2008-04-23 |
| 1205912789 | Wal-mart Stores Texas, Lp | Technician/Technologist | 603 E Highway 243, Canton, TX 75103-2420 | 2006-10-27 |
| 1023193331 | Wal-mart Stores Texas, Lp | Technician/Technologist | 201 Loop 59, Atlanta, TX 75551-2011 | 2006-10-26 |
| 1669555264 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1201 Stone Rd, Kilgore, TX 75662-5481 | 2006-10-24 |
| 1447334842 | Wal-mart Stores Texas, Lp | Technician/Technologist | 555 W Interstate 30, Garland, TX 75043-5729 | 2006-10-24 |
| 1245314756 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1521 Interstate 35 N, Bellmead, TX 76705-2466 | 2006-10-24 |
| 1588747083 | Wal-mart Stores Texas, Lp | Technician/Technologist | 2450 Nw Loop 338, Odessa, TX 79763-3201 | 2006-10-20 |
| 1578645487 | Wal-mart Stores Texas, Lp | Technician/Technologist | 735 E Highway 377, Granbury, TX 76048-2578 | 2006-10-19 |
| 1063594968 | Wal-mart Stores Texas, Lp | Technician/Technologist | 150 N Interstate 35 E, Lancaster, TX 75146-1844 | 2006-10-19 |
| 1245312214 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1521 Cockrell Hill Rd, Dallas, TX 75211-1315 | 2006-10-19 |
| Street Address |
3401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003833278 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 3401 S 31st St, Temple, TX 76502-1902 | 2006-07-16 |
| 1396345419 | Ganiat Olayinka Ahmed | Pharmacist | 3401 S 31st St, Temple, TX 76502-1902 | 2020-10-28 |
| 1265032510 | Sandra Lee Funderburk | Pharmacist | 3401 S 31st St, Temple, TX 76502-1902 | 2020-10-27 |
| 1477900181 | Alyssa Montana Tsai | Anesthesiology | 3401 S 31st St, Ms-20-d304, Temple, TX 76502-1902 | 2016-05-23 |
| 1407965635 | John P Brewer | Optometrist | 3401 S 31st St, Temple, TX 76502-1902 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982098471 | Wal-mart Stores Texas, LLC | Technician/Technologist | 6801 W Adams Avenue, Temple, TX 76502 | 2015-03-24 |
| 1578872321 | Marvina Drozd | Technician/Technologist | 1408 S 31st St Ste B, Temple, TX 76504-6791 | 2010-09-28 |
| 1588748602 | Wal-mart Stores East, Lp | Technician/Technologist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2006-10-25 |
| 1669563854 | Sam's Club Optical | Technician/Technologist | 5314 Allentown Pike, Temple, PA 19560-1249 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095271 | Quyen Ngo Nguyen | Technician/Technologist | 1830 S Mason Rd Ste 125, Katy, TX 77450-3240 | 2020-02-20 |
| 1710522479 | Mikel Rivera | Technician/Technologist | 314 N Walnut St Ste C, Sherman, TX 75090-0047 | 2019-11-16 |
| 1740822501 | Eyeglasses of Texas | Technician/Technologist | 6200 Bellaire Blvd Ste J, Houston, TX 77081-4902 | 2019-10-14 |
| 1013558840 | Cristian Villagomez | Technician/Technologist | 2128 Kazmeier Plz, Bryan, TX 77802-3414 | 2019-10-02 |
| 1104393339 | National Vision Inc | Technician/Technologist | 2525 W Anderson Ln Ste 150, Austin, TX 78757-1180 | 2018-10-25 |
| 1063987618 | Stephen Williams | Technician/Technologist | 701 Commerce St Ste 629, Dallas, TX 75202-4522 | 2018-10-10 |
| 1174007207 | National Vision Inc | Technician/Technologist | 3916 Kemp Blvd Ste K, Wichita Falls, TX 76308-2119 | 2018-09-25 |
| 1295217032 | Richard D Reyes | Technician/Technologist | 115 E Travis St Ste 100, San Antonio, TX 78205-1668 | 2018-08-29 |
| 1205316890 | Katherine Denney | Technician/Technologist | 202 W Main St Ste 200-107, Allen, TX 75013-8094 | 2018-08-14 |
| 1407332497 | National Vision Inc | Technician/Technologist | 3649 Catclaw Dr, Abilene, TX 79606-8249 | 2018-07-13 |
| 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.