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WAL-MART STORES INC NPI 1114355393


NPI Information

NPI: 1114355393
Provider Name: WAL-MART STORES, INC

Doing Business As: WAL-MART VISION CENTER 30-4171

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
11822 GILBERT ST
GARDEN GROVE, CA
ZIP 92841
Phone: (714) 591-1304
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WAL-MART STORES, INC is an eyewear supplier in Garden Grove, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL-MART STORES, INC NPI is 1114355393. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wal-mart Vision Center 30-4171.

The provider's business location address is:

11822 GILBERT ST
GARDEN GROVE, CA
ZIP 92841-720
Phone: (714) 591-1304
Fax: (714) 590-1206

The provider's authorized official is Deb Lauver .
The authorized official title is Specialist Plan Enrollment and has the following contact phone number (479) 273-4885.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 5/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.