WAL-MART STORES INC NPI 1538240544

NPI Information

NPI: 1538240544
Provider Name: WAL-MART STORES, INC

Doing Business As: VISION CENTER 30-1323

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

Specialization: Optician

Address:
3315 N UNIVERSITY ST
PEORIA, IL
ZIP 61604
Phone: (309) 682-0055
Get Directions

WAL-MART STORES, INC is an optician technician technologist in Peoria, IL. WAL-MART STORES, INC NPI is 1538240544. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vision Center 30-1323.

The provider's business location address is:

3315 N UNIVERSITY ST
PEORIA, IL
ZIP 61604-320
Phone: (309) 682-0055

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 CLIA number assigned to this NPI record is 14D2140328 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 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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