Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Corpus Christi, TX

NPI number 1366725525 Active

Practice location

4109 S Staples St
Corpus Christi, TX 78411-5500

Call (361) 249-9310 Map

Fax (361) 806-2962

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.

7 other providers at this address

Other eyewear supplier providers in Corpus Christi

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NPI record

NPI: 1366725525
Entity type: Organization (Type 2)
Issued: Sep 23, 2011
Last updated: Jul 16, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Wal-Mart Vision Center 30-1494 · doing business as

Authorized official

Laura Levine
MGR Gov Contracting
(479) 204-8550

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 1366725525

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1366725525, issued on Sep 23, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Corpus Christi, TX. The record was last updated on Jul 16, 2013.