WAL-MART STORES EAST, LP.
NPI 1215703947
Technician/Technologist - Optician in Hagerstown, MD

NPI Status: Active since December 04, 2023

Contact Information

17850 GARLAND GROH BLVD
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 714-1380

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Technician/Technologist
Optician
Medicare Supplier
Does Not Accept Medicare Approved Payment

About WAL-MART STORES EAST, LP.

This page provides the complete NPI Profile along with additional information for Wal-mart Stores East, Lp., a provider established in Hagerstown, Maryland operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1215703947 assigned on December 2023. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Michele Garvey (Director Of Health Care Contracting)

NPI: 1215703947
Provider Name: WAL-MART STORES EAST, LP.
Entity Type: Organization
Location Address: 17850 GARLAND GROH BLVD HAGERSTOWN, MD 21740
Location Phone: (301) 714-1380
Mailing Address: 702 SW 8TH ST BENTONVILLE, AR 72716
Mailing Phone: (479) 258-2115
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-04-2023
Last Update Date: 12-04-2023
Code Navigator

Wal-mart Stores East, Lp. is a medicare supplier with PTAN 20496233 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: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Technician/Technologist Optician
Taxonomy Code: 156FX1800X
Type: Eye and Vision Services Providers
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	332H00000X	Suppliers	Eyewear Supplier

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MICHELE GARVEY
Authorized Official Title: DIRECTOR OF HEALTH CARE CONTRACTING
Authorized Official Phone: (479) 277-2611

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20496233
Accepts Medicare Assignment: NO
Specialities List: Pharmacy, Optician.
Competitive Bidding: NO

Supplies List

Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs - FDA anticancer drugs
Oral Antiemetic Drugs - FDA antiemetic drugs
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
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
Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
Enteral Nutrients - Enteral formula
Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	7	0	3	9	4	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	14	0	6	9	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 4 + 0 + 6 + 9 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1215703947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.