Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores Texas, LLC

Organization Optician · NPI 1104352459

Wal-Mart Stores Texas, LLC is an Optician in Grand Prairie, Texas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24403 Ih 10W
Grand Prairie, TX 75052
Phone: (479) 277-1242
Fax: (479) 277-4331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1104352459
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores, Inc
Authorized official Kylee Fisher — Manager · (479) 204-1258
Other names Walmart Vision Center 30-4503
NPI enumeratedMay 5, 2017
Last updated in NPPESMay 5, 2017
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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