Organization
WAL-MART STORES TEXAS, LLC
Active
Other names
Walmart Vision Center 30-1484
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
1950 MCKINNEY ST, MELISSA, TX 75454-9957
(945) 234-6959
Mailing address
1 CUSTOMER DR, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
05/27/2026
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