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WAL-MART STORES INC NPI 1669771663


NPI Information

NPI: 1669771663
Provider Name: WAL-MART STORES INC

Doing Business As: VISION CENTER 30-1404

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 14D2139399

Address:
820 SOUTH RAND
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 438-2200
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WAL-MART STORES INC is an eyewear supplier in Lake Zurich, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL-MART STORES INC NPI is 1669771663. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vision Center 30-1404.

The provider's business location address is:

820 SOUTH RAND
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 438-2200

The provider's authorized official is Dianna Painter .
The authorized official title is Enrollment Specialist and has the following contact phone number (479) 277-1238.

The CLIA number assigned to this NPI record is 14D2139399 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2011 and was last updated on 3/17/2011.


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
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: 5/5/2024

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