VISION CENTER 30-1233 (WAL-MART STORES EAST, LP) NPI 1649355215

Technician/Technologist (Optician) in Paintsville, KY

NPI 1649355215 Organization Technician/Technologist Optician

About VISION CENTER 30-1233 (WAL-MART STORES EAST, LP)

Vision Center 30-1233 (wal-mart Stores East, Lp) is a provider established in Paintsville, Kentucky specializing in technician/technologist (optician) . The NPI number of Vision Center 30-1233 (wal-mart Stores East, Lp) is 1649355215 and was 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 one year ago. Vision Center 30-1233 (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 Vision Center 30-1233. The authorized official of this NPI record is Nicole D Gentile (Npi Coordinator)

NPI

1649355215

Provider NameVISION CENTER 30-1233 (WAL-MART STORES EAST, LP)
Provider Location Address470 N MAYO TRL PAINTSVILLE, KY 41240
Provider Mailing Address702 SW 8TH ST BENTONVILLE, AR 72716
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameVISION CENTER 30-1233
Other Name TypeDoing Business As (3)
Enumeration Date10-25-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code156FX1800X
ClassificationTechnician/Technologist
TypeEye and Vision Services Providers
SpecializationOptician

Business Address

VISION CENTER 30-1233
470 N MAYO TRL
PAINTSVILLE, KY
ZIP 41240
Phone: (606) 789-8920

Get Directions


Mailing Address

VISION CENTER 30-1233
702 SW 8TH ST
BENTONVILLE, AR
ZIP 72716
Phone:



Authorized Official

Authorized Official Name NICOLE D GENTILE
Authorized Official TitleNPI COORDINATOR
Authorized Official Phone(316) 788-5580

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
1332H00000XSuppliersEyewear SupplierN/A

Taxonomy Description: an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992862148DR. JASON MARION EVANS O.D.
Individual
Optometrist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-0343
1023294303JASON EVANS OD LLC
Organization
Optometrist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-0343
1629095047WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1437759610 MEGAN NICOLE WALDEN RPH
Individual
Pharmacist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1841746401 EMILY HOLBROOK GREEN
Individual
Pharmacist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1922608546 DONNA BOLEYN PHARMD
Individual
Pharmacist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 789-8925
1972119154DR. REBECCA HAUT OD
Individual
Optometrist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 788-7275
1427659929REBECCA HAUT, OD, LLC
Organization
Optometrist470 N MAYO TRL
PAINTSVILLE, KY 41240
(606) 788-7275

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.