Organization · Type 2 NPI

Wal-Mart Stores Texas LLC

Eyewear Supplier · Manor, TX

NPI number 1922429836 Active

Practice location

11923 US Hwy 290 E
Manor, TX 78653

Call (479) 204-8705 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: 1922429836
Entity type: Organization (Type 2)
Issued: Dec 18, 2013
Last updated: Jan 21, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-3169 · doing business as

Authorized official

Laura Levine
Director Government Contractacting
(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 1922429836

Wal-Mart Stores Texas LLC's National Provider Identifier is 1922429836, issued on Dec 18, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Manor, TX. The record was last updated on Jan 21, 2014.