OrganizationActive
Wal-Mart Stores Texas, LLC
NPI 1619059763 · Eyewear Supplier · Garland, TX
Wal-Mart Stores Texas, LLC is a Eyewear Supplier organization in Garland, TX (NPI 1619059763).
Provider details
- NPI number
- 1619059763
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director(480) 853-0515
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
1801 Marketplace Dr
Garland, TX 75041-5605
Phone: (336) 835-5211
Street-level locationGet directions
Mailing address
1 Customer Dr
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Vision Center 30-1800
- Doing business as
- Walmart Vision Center 30-1800
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Frequently asked questions
- What is Wal-Mart Stores Texas, LLC's NPI number?
- Wal-Mart Stores Texas, LLC's National Provider Identifier (NPI) is 1619059763, 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 1801 Marketplace Dr, Garland, TX 75041-5605.
- 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 (336) 835-5211.
- 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 Kimberly Canonic, Senior Director. 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 (1619059763) is active in the NPPES registry as of the last update on 2026-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.