Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Royse City, TX

NPI number 1922483155 Active

Practice location

494 W. Interstate 30
Royse City, TX 75189

Call (479) 204-8705 Map

Mailing address

702 SW 8th St, Mailstop 0445
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: 1922483155
Entity type: Organization (Type 2)
Issued: Jul 29, 2015
Last updated: Dec 24, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Walmart Vision Center 30-5987 · doing business as

Authorized official

Laura Levine
Dir Healthcare Enrollment&contract
(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 1922483155

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1922483155, issued on Jul 29, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Royse City, TX. The record was last updated on Dec 24, 2015.