WAL-MART STORES INC. NPI 1891149332

NPI Information

WAL-MART STORES, INC. is an eyewear supplier in Richton Park, 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 1891149332. 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 30-1497.

The provider's business location address is:

22401 CENTRAL AVENUE
RICHTON PARK, IL
ZIP 60471
Phone: (479) 204-8705

The provider's authorized official is Laura Levine .
The authorized official title is Dir. Healthcare Contract&enrollment and has the following contact phone number (479) 204-8550.

The CLIA number assigned to this NPI record is 14D2139827 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2016 and was last updated on 4/21/2016.

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:

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