Organization
WAL-MART STORES TEXAS, LLC
Active
Other names
Walmart Vision Center 30-0529
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (SENIOR DIRECTOR)
(479) 277-2611
Entity
Organization
Contact information
Practice address
6410 INTERSTATE 45, LA MARQUE, TX 77568-3085
(409) 986-7835
(409) 986-6805
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
05/14/2025
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