Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Azle, TX

NPI number 1144301581 Active

Practice location

721 Boyd Rd
Azle, TX 76020-4811

Call (817) 270-5716 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.

9 other providers at this address

NPI record

NPI: 1144301581
Entity type: Organization (Type 2)
Issued: Oct 18, 2006
Last updated: Jun 6, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Vision Center 30-5359 · doing business as

Authorized official

Laura Levine
Manager, Gov't 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 1144301581

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1144301581, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Azle, TX. The record was last updated on Jun 6, 2013.