Whalio Doctors

NPI 1578923868

Wal-Mart Stores Texas, LLC

Organisation Eyewear Supplier San Angelo, TX

Practice location

Address
3440 S. Bryant Blvd, San Angelo, TX 76903
Phone
(325) 276-6598
Fax
(325) 276-6597
Mailing address
702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445

Authorised official

Name
Laura Levine
Title
Dir Healthcare Contract&enrolment
Phone
(479) 204-8550

Registered specialties (2)

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X
Optician
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1578923868
Entity type
Organization
NPI issued
29 Feb 2016
Record last updated
11 May 2016

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.