WALMART VISION CENTER 30-4130
NPI 1508257312
Eyewear Supplier in Kyle, TX

Active since February 16, 2015CLIA 45D2136600 · Waiver
5754 KYLE PKWY, KYLE, TX 78640(512) 268-0426 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walmart Vision Center 30-4130 NPPES

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

WALMART VISION CENTER 30-4130 (NPI 1508257312) is a healthcare organization registered as an eyewear supplier in Kyle, Texas and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Laura Levine, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1508257312
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES TEXAS, LLC
Location Address5754 KYLE PKWYKyle, TX 78640
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDirector Of Healthcare Contracting · (479) 204-8550
Enumeration DateFebruary 16, 2015
NPI 1508257312 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
5754 KYLE PKWY, Kyle, TX 78640

Other Names 1

Doing Business AsWalmart Vision Center 30-4130

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2136600

Walmart Pharmacy 10-4130 · Kyle, TX
Active · expires Sep 11, 2027
CLIA Number45D2136600
Laboratory TypePharmacy
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorTram Anh Thuy Do
Laboratory Phone(512) 268-0412
Laboratory LocationWalmart Pharmacy 10-41305754 Kyle Parkway, Kyle, TX 78640
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
5754 KYLE PKWY
KYLE, TX 78640
Optometrist
5754 KYLE PKWY
KYLE, TX 78640
Optometrist
5754 KYLE PKWY
KYLE, TX 78640
Pharmacist
5754 KYLE PKWY
KYLE, TX 78640
Pharmacy (Community/Retail Pharmacy)
5754 KYLE PKWY
KYLE, TX 78640

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 1508257312. It was assigned to this organization in the NPPES registry on February 16, 2015.

Where is Wal-Mart Stores Texas, LLC located?

Wal-Mart Stores Texas, LLC is located at 5754 Kyle Pkwy, Kyle, TX 78640. The listed phone number is (512) 268-0426.

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

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

Does Wal-Mart Stores Texas, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2136600) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 February 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.