WAL-MART STORES TEXAS, LLC (NPI# 1972041374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972041374 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WALMART VISION CENTER 30-6467 |
| Practice Address |
450 S Southeast Loop 323 Tyler TX 75702-8646 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9034056387 |
| Practice Fax Number | 9035260498 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | KYLEE FISHER (MANAGER) |
| Authorized Official Telephone | 4792041258 |
| 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 30-6467 | 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 |
450 S SOUTHEAST LOOP 323 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245777895 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| 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 |
|---|---|---|---|---|
| 1508180928 | New Columbian Optical Company | Eyewear Supplier (Equipment, not the service) | 2105 S Broadway Ave, Tyler, TX 75701-4214 | 2010-03-15 |
| 1356490650 | Ragsdale & Martin Optical, Inc | Eyewear Supplier (Equipment, not the service) | 2740 S Broadway Ave, Tyler, TX 75701-5412 | 2007-01-09 |
| 1427114941 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4701 S Broadway, Broadway Square Mall, Tyler, TX 75703-1309 | 2006-12-29 |
| 1780776641 | Eyemasters of Texas, Ltd | Eyewear Supplier (Equipment, not the service) | 701 W Sw Loop 323, Tyler, TX 75701-9410 | 2006-09-29 |
| 1518988609 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4401 S Broadway Ave, Tyler, TX 75703-1304 | 2006-07-22 |
| 1174558894 | Tyler Optical Lab Inc | Eyewear Supplier (Equipment, not the service) | 4568 S. Broadway Ave., Tyler, TX 75703-1305 | 2006-07-11 |
| 1124545413 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 3415 Golden Rd, Tyler, TX 75701-8355 | 2017-08-28 |
| 1326599390 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7003 S Broadway Ave, Tyler, TX 75703-4737 | 2016-10-14 |
| 1003214040 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4826 S Broadway Ave, Tyler, TX 75703-1312 | 2014-12-08 |
| 1417225772 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 701 W Sw Loop 323, Tyler, TX 75701-9410 | 2011-12-01 |
| Find all providers in TYLER | ||||
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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.