WAL-MART STORES INC NPI 1326229253

NPI Information

  • NPI: 1326229253
  • Provider Name: WAL-MART STORES, INC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: VISION CENTER 30-1413
  • CLIA Number: 14D2139811
  • Address: 1205 S ROUTE 31
    CRYSTAL LAKE, IL
    ZIP 60014
  • Phone: (815) 477-4053

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NPI Details

WAL-MART STORES, INC is an optician technician technologist in Crystal Lake, IL. 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, INC NPI is 1326229253. The provider is registered as an organization entity type.
The provider Is Doing Business As Vision Center 30-1413.

The provider's business location address is:

1205 S ROUTE 31
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 477-4053

The provider's authorized official is David J Simmons .
The authorized official title is Npi Associate and has the following contact phone number (479) 277-9373.

The CLIA number assigned to this NPI record is 14D2139811 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 11/20/2007.

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
1332H00000XEyewear SupplierNo
2156FX1800XTechnician/TechnologistOpticianYes

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: 11/21/2025

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