Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Bryan, TX

NPI number 1760806806 Active

Practice location

643 N Harvey Mitchell Pkwy
Bryan, TX 77807-1012

Call (979) 599-9205 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.

4 other providers at this address

Other eyewear supplier providers in Bryan

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NPI record

NPI: 1760806806
Entity type: Organization (Type 2)
Issued: Feb 10, 2014
Last updated: May 7, 2018
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

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Wal-Mart Vision Center 30-4183 · doing business as
Wal-Mart Vision Center 30-4183 · doing business as

Authorized official

Laura Levine
Director of Government 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 1760806806

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1760806806, issued on Feb 10, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bryan, TX. The record was last updated on May 7, 2018.