WAL-MART STORES TEXAS LLC NPI 1144680539

NPI Information

NPI: 1144680539
Provider Name: WAL-MART STORES TEXAS, LLC

Doing Business As: WALMART VISION CENTER 30-3585

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

Address:
2901 RILEY FUZZELL ROAD
SPRING, TX
ZIP 77386
Phone: (832) 823-7810
Get Directions

WAL-MART STORES TEXAS, LLC is an eyewear supplier in Spring, 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 1144680539. 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 30-3585.

The provider's business location address is:

2901 RILEY FUZZELL ROAD
SPRING, TX
ZIP 77386
Phone: (832) 823-7810
Fax: (281) 288-0607

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

The CLIA number assigned to this NPI record is 45D2109015 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/29/2016 and was last updated on 5/24/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			No
2	332H00000X	Eyewear Supplier				Yes

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
1	4360370538	MEDICARE 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

NPI Synchronization or Removal

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