Organization
WAL-MART STORES TEXAS, LLC
Active
Other names
Walmart Vision Center 30-2463
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
355 STONEBROOK PKWY, FRISCO, TX 75036-3076
(972) 987-8768
Mailing address
1 CUSTOMER DR, BENTONVILLE, AR 72716-0445
(479) 277-2500
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
06/15/2026
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