WAL-MART STORES TEXAS LLC NPI 1184083487

NPI Information

WAL-MART STORES TEXAS, LLC is an eyewear supplier in San Antonio, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL-MART STORES TEXAS, LLC NPI is 1184083487. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Walmart Vision Center 30-3107.

The provider's business location address is:

24403 IH 10W
SAN ANTONIO, TX
ZIP 78255
Phone: (210) 276-2527
Fax: (210) 276-2498

The provider's authorized official is Shannon Farmer .
The authorized official title is Enrollment Specialist and has the following contact phone number (479) 277-1242.

The CLIA number assigned to this NPI record is 45D2111122 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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