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WAL-MART STORES TEXAS LLC NPI 1750464368


NPI Information

NPI: 1750464368
Provider Name: WAL-MART STORES, TEXAS, LLC

Doing Business As: WAL-MART VISION CENTER 30-3773

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
9500 CLIFFORD ST
FORT WORTH, TX
ZIP 76108
Phone: (817) 367-0042
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WAL-MART STORES, TEXAS, LLC is an eyewear supplier in Fort Worth, 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 1750464368. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wal-mart Vision Center 30-3773.

The provider's business location address is:

9500 CLIFFORD ST
FORT WORTH, TX
ZIP 76108-403
Phone: (817) 367-0042

The provider's authorized official is Laura Levine .
The authorized official title is Mgr Gov Contracting and has the following contact phone number (479) 204-8550.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 6/6/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14360370358MEDICARE NSCTEXAS

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: 4/28/2024

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