WALMART VISION CENTER 30-4497 (WAL-MART STORES EAST, LP) NPI 1073988523

Eyewear Supplier in Hueytown, AL

NPI 1073988523 Organization Eyewear Supplier Medicare Supplier Does Not Accept Medicare Approved Payment

About WALMART VISION CENTER 30-4497 (WAL-MART STORES EAST, LP)

Walmart Vision Center 30-4497 (wal-mart Stores East, Lp) is a provider established in Hueytown, Alabama specializing in eyewear supplier. The NPI number of Walmart Vision Center 30-4497 (wal-mart Stores East, Lp) is 1073988523 and was assigned on December 2015. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Walmart Vision Center 30-4497 (wal-mart Stores East, Lp) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Walmart Vision Center 30-4497. The authorized official of this NPI record is Laura Levine (Dir Healthcare Contract & Enroll)

Walmart Vision Center 30-4497 is a medicare supplier with PTAN 4355052342 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Immunosuppressive Drugs or Oral Anticancer Drugs or Canes and/or Crutches or Blood Glucose Monitors/Supplies (Non-Mail Order) or Ostomy Supplies or Oral Antiemetic Drugs or Nebulizer Drugs or Blood Glucose Monitors/Supplies (Mail Order) or Epoetin or Walkers or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.

NPI

1073988523

Provider NameWALMART VISION CENTER 30-4497 (WAL-MART STORES EAST, LP)
Provider Location Address1007 RED FARMER DR HUEYTOWN, AL 35023
Provider Mailing Address702 SW 8TH ST MAILSTOP 0445 BENTONVILLE, AR 72716
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameWALMART VISION CENTER 30-4497
Other Name TypeDoing Business As (3)
Enumeration Date12-09-2015
Last Update Date12-09-2015


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

WALMART VISION CENTER 30-4497
1007 RED FARMER DR
HUEYTOWN, AL
ZIP 35023
Phone: (205) 307-5752

Get Directions


Mailing Address

WALMART VISION CENTER 30-4497
702 SW 8TH ST
MAILSTOP 0445
BENTONVILLE, AR
ZIP 72716
Phone:



Authorized Official

Authorized Official Name LAURA LEVINE
Authorized Official TitleDIR HEALTHCARE CONTRACT & ENROLL
Authorized Official Phone(479) 204-8550

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN4355052342
Accepts Medicare AssignmentNO
Specialities ListPharmacy, Optician.
Supplies List
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianNo

Taxonomy Description: Not Available

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891163119 JING CHEN PHARMD
Individual
Pharmacist1007 RED FARMER DR
HUEYTOWN, AL 35023
(205) 744-9882
1508222399IDENICA EYECARE, LLC
Organization
Optometrist1007 RED FARMER DR
HUEYTOWN, AL 35023
(205) 260-9579
1518114321WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)1007 RED FARMER DR
HUEYTOWN, AL 35023
(205) 744-9997
1275049199DR. TYLER WAYNE STEWART PHARMD
Individual
Pharmacist1007 RED FARMER DR
BESSEMER, AL 35023
(205) 744-9882

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.