Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · San Angelo, TX

NPI number 1104902451 Active

Practice location

610 W 29th St
San Angelo, TX 76903-2828

Call (325) 812-0092 Map

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.

6 other providers at this address

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About NPI 1104902451

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1104902451, issued on Oct 30, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Angelo, TX. The record was last updated on Jun 5, 2013.