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WAL-MART STORES EAST LP NPI 1871675017


NPI Information

NPI: 1871675017
Provider Name: WAL-MART STORES EAST, LP

Doing Business As: VISION CENTER 30-1804

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

CLIA Number: 15D2146337

Address:
1710 APPLE GLEN BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-0113
Get Directions

WAL-MART STORES EAST, LP is an optician technician technologist in Fort Wayne, IN. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. WAL-MART STORES EAST, LP NPI is 1871675017. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vision Center 30-1804.

The provider's business location address is:

1710 APPLE GLEN BLVD
FORT WAYNE, IN
ZIP 46804-725
Phone: (260) 436-0113

The provider's authorized official is Linda M. Epperson .
The authorized official title is Npi Coordinator and has the following contact phone number (316) 788-5580.

The CLIA number assigned to this NPI record is 15D2146337 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.


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/TechnologistOpticianYes
2332H00000XEyewear SupplierX

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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