Organization
WAL-MART STORES TEXAS, LLC
Active
Parent organization
WALMART INC.
Other names
Walmart Vision Center 30-4055
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALMART INC.
Authorized official
SARAH LITTLE (DIR HEALTHCARE CONTRACT&ENROLLMENT)
(479) 277-2500
Entity
Organization
Contact information
Practice address
510 KITTY HAWK RD, UNIVERSAL CITY, TX 78148-3961
(210) 536-8544
(210) 566-1221
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364386801
—
TX
Enumeration date
05/27/2016
Last updated
08/27/2019
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