Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Lubbock, TX

NPI number 1497803092 Active

Practice location

6315 82nd St.
Lubbock, TX 79424

Call (806) 698-1748 Map

Fax (806) 698-8297

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: 1497803092
Entity type: Organization (Type 2)
Issued: Jan 8, 2007
Last updated: Jun 7, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Vision Center 30-4299 · doing business as

Authorized official

Laura Levine
Manager, Gov't 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 1497803092

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1497803092, issued on Jan 8, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lubbock, TX. The record was last updated on Jun 7, 2013.