WALMART VISION CENTER 30-2752
NPI 1265517841
Technician/Technologist - Optician in Commerce City, CO

NPI Status: Active since October 25, 2006

Contact Information

5990 DAHLIA ST
COMMERCE CITY, CO
ZIP 80022
Phone: (303) 287-0600

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  • Organization
  • Technician/Technologist
  • Optician
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment
  • CLIA Number: 06D2128395
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 03-28-2027

About WALMART VISION CENTER 30-2752

This page provides the complete NPI Profile along with additional information for Walmart Vision Center 30-2752, a provider established in Commerce City, Colorado operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1265517841 assigned on October 2006. 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 provider's is doing business as Walmart Vision Center 30-2752. The authorized official of this NPI record is Matthew Mcmullin (Director)

NPI
1265517841
Provider Legal Name
WALMART INC.
Other Organization Name
WALMART VISION CENTER 30-2752
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5990 DAHLIA ST COMMERCE CITY, CO 80022
Location Phone
(303) 287-0600
Mailing Address
702 SW 8TH ST BENTONVILLE, AR 72716
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2006
Last Update Date
12-12-2023
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Walmart Vision Center 30-2752 is a medicare supplier with PTAN 20426741 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 Infusion 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)
1332H00000XSuppliers

Eyewear Supplier

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MATTHEW MCMULLIN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(479) 371-8711

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20426741
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
  • Infusion Drugs -
  • 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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2128395
Facility Type
Pharmacy
Certificate Effective Date
March 29, 2025
Certificate Expiration Date
March 28, 2027
Laboratory Director
MARTIN A. KISANG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walmart Vision Center 30-2752 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265517841, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 0 + 1 + 1 + 4 + 8 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1265517841.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Optometrist
5990 DAHLIA ST, SUITE A
COMMERCE CITY, CO 80022
Optometrist
5990 DAHLIA ST
COMMERCE CITY, CO 80022
Pharmacist
5990 DAHLIA ST
COMMERCE CITY, CO 80022
Pharmacist
5990 DAHLIA ST
COMMERCE CITY, CO 80022
Pharmacy (Community/Retail Pharmacy)
5990 DAHLIA ST
COMMERCE CITY, CO 80022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265517841, enumerated as an "organization" on October 25, 2006.

The provider is located at 5990 DAHLIA ST COMMERCE CITY, CO 80022 and the phone number is (303) 287-0600.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.