Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Devine, TX

NPI number 1629486402 Active

Practice location

175 Ih 35 N
Devine, TX 78016

Call (830) 663-5956 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.

NPI record

NPI: 1629486402
Entity type: Organization (Type 2)
Issued: Jul 24, 2014
Last updated: Jul 24, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Walmart Vision Center 30-4103 · doing business as

Authorized official

Laura Levine
Dir Healthcare 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 1629486402

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1629486402, issued on Jul 24, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Devine, TX. The record was last updated on Jul 24, 2014.