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WALMART VISION CENTER 30-4055
NPI 1699123893
Eyewear Supplier in Universal City, TX

Active since May 27, 2016
510 KITTY HAWK RD, UNIVERSAL CITY, TX 78148(210) 536-8544(210) 566-1221 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walmart Vision Center 30-4055 NPPES

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

WALMART VISION CENTER 30-4055 (NPI 1699123893) is a healthcare organization registered as an eyewear supplier in Universal City, Texas and active in the NPI registry since May 2016. The organization lists Sarah Little, Dir Healthcare Contract&enrollment, as its authorized official.

NPPES Registry Identity

NPI1699123893
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES TEXAS, LLC
Location Address510 KITTY HAWK RDUniversal City, TX 78148-3961
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(210) 536-8544
Fax(210) 566-1221
Organization SubpartYesParent: Walmart Inc.
Authorized OfficialSarah LittleDir Healthcare Contract&enrollment · (479) 277-2500
Enumeration DateMay 27, 2016
Last NPPES UpdateAugust 27, 2019
✔ NPI 1699123893 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
510 KITTY HAWK RD, Universal City, TX 78148
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Other Names 1

Doing Business AsWalmart Vision Center 30-4055

Other Identifiers 1

Medicaid364386801TX

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 ›

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-4055 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-4055

DMEPOS supplier · Universal City, TXOperated by Wal-Mart Stores Texas, LLC
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-4055 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20610239
Medicare Participant SinceNovember 29, 2001
Supplier Location510 Kitty Hawk RdUniversal City, TX 78148
Phone(210) 536-8546
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

DR. ASHLEE CASERES PHARMD
Pharmacist
510 KITTY HAWK RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 536-8548
JENNIFER RASKOVICH ABO/NCLEC
Technician/Technologist (Optician)
510 KITTY HAWK RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 536-8544
JAMES F ANDERSON, OD PLLC
Optometrist
510 KITTY HAWK RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 774-5367
WAL-MART STORES TEXAS LLC
Pharmacy (Community/Retail Pharmacy)
510 KITTY HAWK RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 536-8546

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 1699123893. It was assigned to this organization in the NPPES registry on May 27, 2016. The provider is doing business as Walmart Vision Center 30-4055.

Where is Wal-Mart Stores Texas, LLC located?

Wal-Mart Stores Texas, LLC is located at 510 Kitty Hawk Rd, Universal City, TX 78148. The listed phone number is (210) 536-8544.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-4055 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

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 August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.