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WAL-MART STORES TEXAS, LLC
NPI 1629936240
Eyewear Supplier in Celina, TX

Active since January 13, 2026

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2026, Jan 13, 2026 (2 updates tracked since 2026).

About Wal-mart Stores Texas, Llc NPPES

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

WAL-MART STORES TEXAS, LLC (NPI 1629936240), doing business as Walmart Vision Center 30-1250, is a healthcare organization registered as an eyewear supplier in Celina, Texas and active in the NPI registry since January 2026. The organization lists Kimberly Canonic, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1629936240
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES TEXAS, LLC
Location Address400 ICY TRLCelina, TX 75009-5780
Mailing Address1 Customer Dr, Mail Stop 0445Bentonville, AR 72716-0445
Phone(972) 382-0148
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director · (480) 853-0515
Enumeration DateJanuary 13, 2026
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1629936240 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
400 ICY TRL, Celina, TX 75009
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Vision Center 30-1250

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

WAL-MART STORES TEXAS, LLC
Pharmacy
400 ICY TRL
CELINA, TX 75009
Collin County (972) 382-0133
MONOCLE EYECARE
Optometrist
400 ICY TRL
CELINA, TX 75009
Collin County (682) 287-7073

Frequently Asked Questions

What is WAL-MART STORES TEXAS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1629936240, enumerated as an "organization" on January 13, 2026.

Where is the provider located?

The provider is located at 400 ICY TRL CELINA, TX 75009 and the phone number is (972) 382-0148.

What is the provider's specialty?

Eyewear Supplier with taxonomy code 332H00000X.