Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Grand Prairie, TX

NPI number 1104352459 Active

Practice location

24403 Ih 10W
Grand Prairie, TX 75052

Call (479) 277-1242 Map

Fax (479) 277-4331

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone 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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About NPI 1104352459

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1104352459, issued on May 5, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Grand Prairie, TX. The record was last updated on May 5, 2017.