Organization · Type 2 NPI

Wal-Mart Stores Texas LP

Eyewear Supplier · San Antonio, TX

NPI number 1073936050 Active

Practice location

5626 Walzem Road
San Antonio, TX 78218

Call (210) 599-2639 Map

Mailing address

702 SW 8th St
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.

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NPI record

NPI: 1073936050
Entity type: Organization (Type 2)
Issued: Jan 28, 2014
Last updated: Jan 29, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-2769 · doing business as

Authorized official

Laura Levine
Director of Government Contracting
(479) 204-8550

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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 1073936050

Wal-Mart Stores Texas LP's National Provider Identifier is 1073936050, issued on Jan 28, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Antonio, TX. The record was last updated on Jan 29, 2014.