Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Dallas, TX

NPI number 1003997537 Active

Practice location

9301 Forest Ln
Dallas, TX 75243-8982

Call (972) 437-9183 Map

Mailing address

1 Customer Dr
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

5 other providers at this address

Other eyewear supplier providers in Dallas

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NPI record

NPI: 1003997537
Entity type: Organization (Type 2)
Issued: Oct 18, 2006
Last updated: May 27, 2026
Status: Active

Other names

<unavail>
Vision Center 30-2427 · doing business as
Walmart Vision Center 30-2427 · doing business as

Authorized official

Kimberly Canonic
Senior Director
(480) 853-0515

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003997537

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1003997537, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Dallas, TX. The record was last updated on May 27, 2026.