Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · San Antonio, TX

NPI number 1184083487 Active

Practice location

24403 Ih 10 W
San Antonio, TX 78257-1447

Call (210) 276-2527 Map

Fax (210) 276-2498

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.

2 other providers at this address

Other eyewear supplier providers in San Antonio

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NPI record

NPI: 1184083487
Entity type: Organization (Type 2)
Issued: Feb 15, 2016
Last updated: Jun 15, 2026
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Walmart Vision Center 30-3107 · doing business as

Authorized official

Shannon Farmer
Enrollment Specialist
(479) 277-1242

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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 1184083487

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1184083487, issued on Feb 15, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 15, 2026.