Organization
WAL-MART STORES TEXAS, LLC
Active
Other names
Walmart Vision Center 30-0263
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
16600 FM 423, FRISCO, TX 75034
(972) 324-0682
Mailing address
1 CUSTOMER DR, BENTONVILLE, AR 72716-0445
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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