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WAL-MART STORES EAST LP NPI 1538538772


NPI Information

NPI: 1538538772
Provider Name: WAL-MART STORES EAST, LP

Doing Business As: WALMART VISION CENTER 30-1330

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 36D2159243

Address:
2450 ALLENTOWN RD
LIMA, OH
ZIP 45805
Phone: (479) 258-2115
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WAL-MART STORES EAST, LP is an eyewear supplier in Lima, OH. 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 1538538772. 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 30-1330.

The provider's business location address is:

2450 ALLENTOWN RD
LIMA, OH
ZIP 45805-712
Phone: (479) 258-2115
Fax: (479) 277-4331

The provider's authorized official is Deb Lauver .
The authorized official title is Specialist and has the following contact phone number (479) 258-2115.

The CLIA number assigned to this NPI record is 36D2159243 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2015 and was last updated on 9/17/2015.


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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