WAL-MART STORES EAST LP NPI 1023194214

NPI Information

NPI: 1023194214
Provider Name: WAL-MART STORES EAST, LP

Doing Business As: VISION CENTER 30-5037

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

Specialization: Optician

Address:
464016 STATE ROAD 200
YULEE, FL
ZIP 32097
Phone: (904) 261-9410
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WAL-MART STORES EAST, LP is an optician technician technologist in Yulee, FL. WAL-MART STORES EAST, LP NPI is 1023194214. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vision Center 30-5037.

The provider's business location address is:

464016 STATE ROAD 200
YULEE, FL
ZIP 32097-339
Phone: (904) 261-9410

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

The enumeration date for this NPI number is 10/31/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes
2	332H00000X	Eyewear Supplier				X

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

NPI Synchronization or Removal

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