Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · San Antonio, TX

NPI number 1225468135 Active

Practice location

4331 Thousand Oaks Dr.
San Antonio, TX 78217

Call (479) 277-1242 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.

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NPI record

NPI: 1225468135
Entity type: Organization (Type 2)
Issued: Nov 14, 2013
Last updated: Nov 14, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

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Wal-Mart Vision Center 30-1803 · doing business as

Authorized official

Laura Levine
Dir., Government 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 1225468135

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1225468135, issued on Nov 14, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Antonio, TX. The record was last updated on Nov 14, 2013.