Organization · Type 2 NPI

Wal-Mart Stores Texas, LLC

Eyewear Supplier · Fort Worth, TX

NPI number 1972943355 Active

Practice location

2401 Avondale Haslet
Fort Worth, TX 76052

Call (479) 273-4288 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.

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NPI record

NPI: 1972943355
Entity type: Organization (Type 2)
Issued: Jun 28, 2013
Last updated: Jun 28, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Wal-Mart Vision Center 30-5764 · doing business as

Authorized official

Laura Levine
Mgr. Government Contracts
(479) 204-8850

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 1972943355

Wal-Mart Stores Texas, LLC's National Provider Identifier is 1972943355, issued on Jun 28, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 28, 2013.