OrganizationActive
Wal-Mart Stores Texas, LLC
NPI 1104902451 · Eyewear Supplier · San Angelo, TX
Wal-Mart Stores Texas, LLC is a Eyewear Supplier organization in San Angelo, TX (NPI 1104902451).
Provider details
- NPI number
- 1104902451
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores Inc
- Organization subpart
- Yes
- Authorized official
- Laura Levine, Mgr Gov Contracting(479) 204-8550
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
610 W 29th St
San Angelo, TX 76903-2828
Phone: (325) 812-0092
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Wal-Mart Vision Center 30-1249
Registry dates
- Enumerated
- 2006-10-30
- Last updated
- 2013-06-05
Frequently asked questions
- What is Wal-Mart Stores Texas, LLC's NPI number?
- Wal-Mart Stores Texas, LLC's National Provider Identifier (NPI) is 1104902451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores Texas, LLC?
- Wal-Mart Stores Texas, LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Wal-Mart Stores Texas, LLC located?
- Wal-Mart Stores Texas, LLC's practice location on file with NPPES is 610 W 29th St, San Angelo, TX 76903-2828.
- What is Wal-Mart Stores Texas, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores Texas, LLC is (325) 812-0092.
- Who is the authorized official for Wal-Mart Stores Texas, LLC?
- The authorized official listed on Wal-Mart Stores Texas, LLC's NPPES record is Laura Levine, Mgr Gov Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores Texas, LLC's NPI active?
- Yes — Wal-Mart Stores Texas, LLC's NPI (1104902451) is active in the NPPES registry as of the last update on 2013-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.