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WAL-MART STORES EAST LP NPI 1437698560


NPI Information

NPI: 1437698560
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART VISION CENTER 30-2790

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 21D2141156

Address:
10420 WALMART DRIVE
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 745-5245
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WAL-MART STORES EAST LP is an eyewear supplier in Hagerstown, MD. 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 1437698560. 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 30-2790.

The provider's business location address is:

10420 WALMART DRIVE
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 745-5245
Fax: (301) 745-5282

The provider's authorized official is Matt Mcmullin .
The authorized official title is Director Of Government Contracting and has the following contact phone number (479) 371-8711.

The CLIA number assigned to this NPI record is 21D2141156 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 5/18/2023.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.