NPI 1104352459

Wal-Mart Stores Texas, LLC

Organisation Eyewear Supplier Grand Prairie, TX

Practice location

Address: 24403 Ih 10w, Grand Prairie, TX 75052
Phone: (479) 277-1242
Fax: (479) 277-4331
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Kylee Fisher
Title: Manager
Phone: (479) 204-1258

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Texas →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Texas →

Registry record

NPI: 1104352459
Entity type: Organization
NPI issued: 5 May 2017
Record last updated: 5 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.