Organization · Type 2 NPI

Wal-Mart Stores Texas LLC

Eyewear Supplier · Lucas, TX

NPI number 1699011338 Active

Practice location

2662 West Lucas Rd
Lucas, TX 75002

Call (469) 675-8559 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: 1699011338
Entity type: Organization (Type 2)
Issued: Dec 28, 2012
Last updated: Dec 28, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-5672 · doing business as

Authorized official

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

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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 1699011338

Wal-Mart Stores Texas LLC's National Provider Identifier is 1699011338, issued on Dec 28, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lucas, TX. The record was last updated on Dec 28, 2012.