Organization · Type 2 NPI

Wal-Mart Stores Texas LP

Eyewear Supplier · Crowley, TX

NPI number 1124399324 Active

Practice location

1221 FM 1187
Crowley, TX 76036

Call (682) 233-7838 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.

NPI record

NPI: 1124399324
Entity type: Organization (Type 2)
Issued: Jan 19, 2012
Last updated: Jan 19, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-3631 · doing business as

Authorized official

Dianna Painter
Enrollment Specialist
(479) 277-1238

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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 1124399324

Wal-Mart Stores Texas LP's National Provider Identifier is 1124399324, issued on Jan 19, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Crowley, TX. The record was last updated on Jan 19, 2012.