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WAL-MART STORES EAST LP NPI 1063897510


NPI Information

NPI: 1063897510
Provider Name: WAL-MART STORES EAST, LP

Doing Business As: WALMART VISION CENTER 30-0954

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 25D2140093

Address:
527 LAKE ST
HAZLEHURST, MS
ZIP 39083
Phone: (479) 204-8550
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WAL-MART STORES EAST, LP is an eyewear supplier in Hazlehurst, MS. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL-MART STORES EAST, LP NPI is 1063897510. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Walmart Vision Center 30-0954.

The provider's business location address is:

527 LAKE ST
HAZLEHURST, MS
ZIP 39083-217
Phone: (479) 204-8550

The provider's authorized official is Laura Levine .
The authorized official title is Dir Healthcare Enrollment And Contr and has the following contact phone number (479) 204-8550.

The CLIA number assigned to this NPI record is 25D2140093 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 7/27/2015.


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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