WAL-MART VISION CENTER 30-3302 (WAL-MART STORES TEXAS, LLC) NPI 1578655031

Eyewear Supplier in Houston, TX

NPI 1578655031 Organization Eyewear Supplier Medicare Supplier Does Not Accept Medicare Approved Payment CLIA Number 45D2134785 CLIA Certificate of Waiver

About WAL-MART VISION CENTER 30-3302 (WAL-MART STORES TEXAS, LLC)

Wal-mart Vision Center 30-3302 (wal-mart Stores Texas, Llc) is a provider established in Houston, Texas specializing in eyewear supplier. The NPI number of Wal-mart Vision Center 30-3302 (wal-mart Stores Texas, Llc) is 1578655031 and was assigned on September 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Wal-mart Vision Center 30-3302 (wal-mart Stores Texas, Llc) 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 Wal-mart Vision Center 30-3302. The authorized official of this NPI record is Laura Levine (Mgr Gov Contracting)

Wal-mart Vision Center 30-3302 is a medicare supplier with PTAN 4360370353 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 Canes and/or Crutches or Walkers or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.

The CLIA number of Wal-mart Vision Center 30-3302 is 45D2134785 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Wal-mart Vision Center 30-3302 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.

NPI

1578655031

Provider NameWAL-MART VISION CENTER 30-3302 (WAL-MART STORES TEXAS, LLC)
Provider Location Address9460 W SAM HOUSTON PKWY S HOUSTON, TX 77099
Provider Mailing Address702 SW 8TH ST BENTONVILLE, AR 72716
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameWAL-MART VISION CENTER 30-3302
Other Name TypeDoing Business As (3)
Enumeration Date09-29-2006
Last Update Date06-26-2013


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

WAL-MART VISION CENTER 30-3302
9460 W SAM HOUSTON PKWY S
HOUSTON, TX
ZIP 77099
Phone: (281) 568-0302
Fax: (281) 568-0426

Get Directions


Mailing Address

WAL-MART VISION CENTER 30-3302
702 SW 8TH ST
BENTONVILLE, AR
ZIP 72716
Phone: (479) 204-8550
Fax: (479) 277-4331



Authorized Official

Authorized Official Name LAURA LEVINE
Authorized Official TitleMGR GOV CONTRACTING
Authorized Official Phone(479) 204-8550

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN4360370353
Accepts Medicare AssignmentNO
Specialities ListPharmacy, Optician.
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
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

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 the NPI number 1578655031 is:

CLIA Number45D2134785
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4360370353MEDICARE NSC (07)

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003034257DR. HUY TRAN O.D.
Individual
Optometrist (Corneal and Contact Management)9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 564-9966
1881864676VISUAL HEALTH P.L.L.C.
Organization
Optometrist (Corneal and Contact Management)9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 564-9966
1427310911V-LE
Organization
Optometrist9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 495-2020
1184641243WAL-MART STORES TEXAS LLC
Organization
Pharmacy (Community/Retail Pharmacy)9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 568-3134
1184141525 CHRISTINE VERDUZCO PHARM.D
Individual
Pharmacist9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 568-3134
1528087707MEDMART, INC
Organization
Durable Medical Equipment & Medical Supplies9460 W SAM HOUSTON PKWY S SUITE 802
HOUSTON, TX 77099
(281) 568-3388
1679173009 RICKY KYLE LEE
Individual
Pharmacist9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 568-3710
1447850979DR. VIVIAN WONG LUU PHARMD
Individual
Pharmacist9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 568-3134
1952901324 MICHAEL KALEMBA
Individual
Pharmacist9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 568-3134
1003145434 JEANMARC V NGUYEN PHARM.D.
Individual
Pharmacist9460 W SAM HOUSTON PKWY S
HOUSTON, TX 77099
(281) 568-3134

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.