Wal-Mart Stores Texas, LLC
Organization Active NPI Eyewear Supplier · Devine, TX
NPI 1629486402 · NPPES record last updated Jul 24, 2014
Key facts
- NPI
- 1629486402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES TEXAS, LLC
- Practice address
- 175 Ih 35 N
Devine, TX 78016 - Phone
- (830) 663-5956
- NPI assigned
- Jul 24, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- WAL-MART STORES, INC
Authorized official
- Name
- Laura Levine
- Title
- Dir Healthcare Contracting
- Phone
- (479) 204-8550
Corporate family (same tax ID) 24
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Walmart Pharmacy #10-4103 |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Ostomy Supplies|Prosthetic Lenses: Conventional Eyeglasses|Enteral Nutrients|Surgical Dressings | Does not accept assignment |
National Provider Directory
- Tax ID family
- Wal-Mart Stores Teas LLC
- Part of
- Walmart Pharmact
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
175 Ih 35 N
Devine, TX 78016
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Other names
- Walmart Vision Center 30-4103
Other providers in Devine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.