Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · San Antonio, TX

NPI number 1386984656 Active

Practice location

4096 North Foster
San Antonio, TX 78244

Call (210) 507-4959 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: 1386984656
Entity type: Organization (Type 2)
Issued: Feb 25, 2013
Last updated: Apr 30, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Wal-Mart Vision Center 30-3112 · doing business as

Authorized official

Amy Powers
Specialist, Plan Enrollment
(479) 204-0709

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About NPI 1386984656

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1386984656, issued on Feb 25, 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 Apr 30, 2013.