WALMART VISION CENTER 30-6931
NPI 1568910875
Eyewear Supplier in Louisville, KY

NPI Status: Active since September 15, 2016

Contact Information

4840 OUTER LOOP
LOUISVILLE, KY
ZIP 40219
Phone: (502) 313-6348
Fax: (502) 969-2383

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  • Organization
  • Eyewear Supplier
  • CLIA Number: 18D2117022
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 08-07-2026

About WALMART VISION CENTER 30-6931

This page provides the complete NPI Profile along with additional information for Walmart Vision Center 30-6931, a provider established in Louisville, Kentucky operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1568910875 assigned on September 2016. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Walmart Vision Center 30-6931. The authorized official of this NPI record is Laura Levine (Dir. Healthcare Contracting)

NPI
1568910875
Provider Legal Name
WAL-MART STORES EAST, LP
Other Organization Name
WALMART VISION CENTER 30-6931
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4840 OUTER LOOP LOUISVILLE, KY 40219
Location Phone
(502) 313-6348
Location Fax
(502) 969-2383
Mailing Address
702 SW 8TH ST BENTONVILLE, AR 72716
Mailing Phone
(479) 277-1242
Mailing Fax
(502) 969-2383
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-15-2016
Last Update Date
09-15-2016
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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)
1156FX1800XEye and Vision Services Providers

Technician/Technologist
Optician

 

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.

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

LAURA LEVINE

Authorized Official Title
DIR. HEALTHCARE CONTRACTING
Authorized Official Phone
(479) 277-1242

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
18D2117022
Facility Type
Pharmacy
Certificate Effective Date
August 08, 2024
Certificate Expiration Date
August 07, 2026
Laboratory Director
MS. PAIGE N. GORAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walmart Vision Center 30-6931 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 1568910875, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 9 → 18 → 9 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 8 + 1 + 0 + 8 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1568910875.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
4840 OUTER LOOP
LOUISVILLE, KY 40219
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Technician/Technologist (Optician)
4840 OUTER LOOP
LOUISVILLE, KY 40219
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Pharmacist
4840 OUTER LOOP
LOUISVILLE, KY 40219
Pharmacy
4840 OUTER LOOP
LOUISVILLE, KY 40219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568910875, enumerated as an "organization" on September 15, 2016.

The provider is located at 4840 OUTER LOOP LOUISVILLE, KY 40219 and the phone number is (502) 313-6348.

Eyewear Supplier with taxonomy code 332H00000X.