WAL-MART STORES TEXAS LLC NPI 1275992570

NPI Information

WAL-MART STORES TEXAS, LLC is an eyewear supplier in Lubbock, 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 1275992570. 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 30-6898.

The provider's business location address is:

11415 QUAKER AVENUE
LUBBOCK, TX
ZIP 79423
Phone: (806) 392-9609
Fax: (806) 392-9608

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 45D2136848 - 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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