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WAL-MART STORES TEXAS LLC NPI 1922483155


NPI Information

NPI: 1922483155
Provider Name: WAL-MART STORES TEXAS, LLC

Doing Business As: WALMART VISION CENTER 30-5987

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 45D2101298

Address:
494 W. INTERSTATE 30
ROYSE CITY, TX
ZIP 75189
Phone: (479) 204-8705
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WAL-MART STORES TEXAS, LLC is an eyewear supplier in Royse City, 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 1922483155. 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 30-5987.

The provider's business location address is:

494 W. INTERSTATE 30
ROYSE CITY, TX
ZIP 75189
Phone: (479) 204-8705

The provider's authorized official is Laura Levine .
The authorized official title is Dir Healthcare Enrollment&contract and has the following contact phone number (479) 204-8550.

The CLIA number assigned to this NPI record is 45D2101298 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 12/24/2015.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14360370515MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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