Wa-Mart Stores Texas, LP

NPI #1205917648 in Longview, Texas

Provider Information

NPI Number: 1205917648
Entity Type: Organization
Organization Name: Wa-Mart Stores Texas, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 18, 2006
Last Updated: May 13, 2025

Practice Location

Address: 2440 GILMER RD
City: Longview
State: Texas
ZIP Code: 75604-2134
Phone: (903) 297-1121

Authorized Official

Name: LINDA M. EPPERSON
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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