WALMART VISION CENTER 30-4503
NPI 1104352459
Eyewear Supplier in Grand Prairie, TX

Q: What is Wal-Mart Stores Texas, LLC's NPI number?

The NPI number for Wal-Mart Stores Texas, LLC is 1104352459. It was assigned to this organization in the NPPES registry on May 5, 2017. The provider is doing business as Walmart Vision Center 30-4503.

Q: What is Wal-Mart Stores Texas, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since May 05, 2017

24403 IH 10W, GRAND PRAIRIE, TX 75052(479) 277-1242(479) 277-4331 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walmart Vision Center 30-4503 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART VISION CENTER 30-4503 (NPI 1104352459) is a healthcare organization registered as an eyewear supplier in Grand Prairie, Texas and active in the NPI registry since May 2017. The organization lists Kylee Fisher, Manager, as its authorized official.

NPPES Registry Identity

NPI1104352459

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART STORES TEXAS, LLC

Location Address24403 IH 10WGrand Prairie, TX 75052

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1242 · Fax (479) 277-4331

Phone(479) 277-1242

Fax(479) 277-4331

Organization SubpartYesParent: Wal-mart Stores, Inc

Authorized OfficialKylee FisherManager · (479) 204-1258

Enumeration DateMay 5, 2017

✔ NPI 1104352459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X

24403 IH 10W, Grand Prairie, TX 75052

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Other Names 1

Doing Business AsWalmart Vision Center 30-4503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores Texas, LLC's NPI number?

The NPI number for Wal-Mart Stores Texas, LLC is 1104352459. It was assigned to this organization in the NPPES registry on May 5, 2017. The provider is doing business as Walmart Vision Center 30-4503.

Where is Wal-Mart Stores Texas, LLC located?

Wal-Mart Stores Texas, LLC is located at 24403 Ih 10W, Grand Prairie, TX 75052. The listed phone number is (479) 277-1242.

What is Wal-Mart Stores Texas, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Wal-Mart Stores Texas, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart Stores Texas, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores Texas, LLC was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.