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WAL-MART STORE INC. NPI 1386819142


NPI Information

NPI: 1386819142
Provider Name: WAL-MART STORE, INC.

Doing Business As: VISION CENTER 30-1364

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
5695 HWY 95 N
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 764-3755
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WAL-MART STORE, INC. is an eyewear supplier in Lake Havasu City, AZ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL-MART STORE, INC. NPI is 1386819142. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vision Center 30-1364.

The provider's business location address is:

5695 HWY 95 N
LAKE HAVASU CITY, AZ
ZIP 86403-646
Phone: (928) 764-3755
Fax: (928) 472-2815

The provider's authorized official is Sarah Little .
The authorized official title is Director Healthcare Contracting and has the following contact phone number (479) 277-2500.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 7/21/2022.


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: 4/28/2024

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