Organization · Type 2 NPI

Wal-Mart Stores Texas, LP

Eyewear Supplier · Montgomery, TX

NPI number 1205927480 Active

Practice location

18700 Highway 105 W
Montgomery, TX 77356-5625

Call (936) 582-1551 Map

Mailing address

702 SW 8th St.
Bentonville, AR 72716-0235

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.

6 other providers at this address

NPI record

NPI: 1205927480
Entity type: Organization (Type 2)
Issued: Sep 27, 2006
Last updated: May 12, 2025
Status: Active

Other names

<unavail>
Vision Center 30-3591 · doing business as
Vision Center 30-3591 · doing business as

Authorized official

Nicole D Gentile
Npi Coordinator
(316) 788-5580

Verify this record

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 1205927480

Wal-Mart Stores Texas, LP's National Provider Identifier is 1205927480, issued on Sep 27, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Montgomery, TX. The record was last updated on May 12, 2025.