WAL-MART STORES TEXAS, LP
NPI 1528169042
Eyewear Supplier in San Antonio, TX

NPI Status: Active since September 26, 2006

Contact Information

8500 JONES MALTSBERGER RD
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 377-1899

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Eyewear Supplier
Accepts Insurance
CLIA Number: 45D2134720
CLIA Cert. Type: Pharmacy
CLIA Exp. Date: 08-07-2025

About WAL-MART STORES TEXAS, LP

This page provides the complete NPI Profile along with additional information for Wal-mart Stores Texas, Lp, a provider established in San Antonio, Texas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1528169042 assigned on September 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Nicole D Gentile (Npi Coordinator)

NPI: 1528169042
Provider Legal Name: WAL-MART STORES TEXAS, LP
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 8500 JONES MALTSBERGER RD SAN ANTONIO, TX 78216
Location Phone: (210) 377-1899
Mailing Address: 702 SW 8TH ST. BENTONVILLE, AR 72716
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-26-2006
Last Update Date: 05-12-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Eyewear Supplier
Taxonomy Code: 332H00000X
Type: Suppliers
Taxonomy Description: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	156FX1800X	Eye and Vision Services Providers	Technician/Technologist Optician

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Arizona Complete Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Silver - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO

Ambetter from Arkansas Health & Wellness

Choice Bronze HSA (QualChoice) - POS
Complete Gold - PPO
Complete Gold + Vision + Adult Dental - PPO
Complete Silver (QualChoice) - POS
Connected Silver - PPO
Connected Silver (QualChoice) - POS
Connected Silver (QualChoiceLife) - PPO
Connected Silver + Vision + Adult Dental - PPO
Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO

Ambetter from Louisiana Healthcare Connections

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO

Ambetter from Superior HealthPlan

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO

Ambetter of Oklahoma

Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO
Elite Gold - PPO
Elite Gold + Vision + Adult Dental - PPO
Everyday Bronze - PPO
Everyday Bronze + Vision + Adult Dental - PPO
Everyday Gold - PPO
Everyday Gold + Vision + Adult Dental - PPO
Focused Silver - PPO
Focused Silver + Vision + Adult Dental - PPO

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 - PPO
Blue Max 90/70 $1500 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
Blue Saver 60/40 $6100 - PPO
Blue Saver 90/70 $3200 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: NICOLE D GENTILE
Authorized Official Title: NPI COORDINATOR
Authorized Official Phone: (316) 788-5580

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 45D2134720
Facility Type: Pharmacy
Certificate Effective Date: August 08, 2023
Certificate Expiration Date: August 07, 2025
Laboratory Director: DAVID C. ABDOO
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Wal-mart Stores Texas, Lp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	2	8	1	6	9	0	4	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	4	8	2	6	18	0	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 6 + 1 + 8 + 0 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1528169042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.