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WAL-MART STORES INC. NPI 1922292432


NPI Information

NPI: 1922292432
Provider Name: WAL-MART STORES, INC.

Doing Business As: VISION CENTER 30-3790

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

Specialization: Optician

CLIA Number: 14D2140380

Address:
16241 SOUTH FARRELL RD
LOCKPORT, IL
ZIP 60441
Phone: (815) 836-3564
Get Directions

WAL-MART STORES, INC. is an optician technician technologist in Lockport, IL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. WAL-MART STORES, INC. NPI is 1922292432. The provider is registered as an organization entity type.
The provider Is Doing Business As Vision Center 30-3790.

The provider's business location address is:

16241 SOUTH FARRELL RD
LOCKPORT, IL
ZIP 60441
Phone: (815) 836-3564

The provider's authorized official is Sabrina Nicole Sutton .
The authorized official title is Npi Associate and has the following contact phone number (479) 277-1175.

The CLIA number assigned to this NPI record is 14D2140380 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 8/29/2007.


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
1332H00000XEyewear SupplierNo
2156FX1800XTechnician/TechnologistOpticianYes

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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