WALMART VISION CENTER 30-5859 (WAL-MART STORES, INC.) NPI 1669858726

Eyewear Supplier in Wasco, CA

NPI 1669858726 Organization Eyewear Supplier

About WALMART VISION CENTER 30-5859 (WAL-MART STORES, INC.)

Walmart Vision Center 30-5859 (wal-mart Stores, Inc.) is a provider established in Wasco, California specializing in eyewear supplier. The NPI number of Walmart Vision Center 30-5859 (wal-mart Stores, Inc.) is 1669858726 and was assigned on July 2015. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Walmart Vision Center 30-5859 (wal-mart Stores, Inc.) 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 Walmart Vision Center 30-5859. The authorized official of this NPI record is Deb Lauver (Specialist)

NPI

1669858726

Provider NameWALMART VISION CENTER 30-5859 (WAL-MART STORES, INC.)
Provider Location Address401 N CENTRAL AVE WASCO, CA 93280
Provider Mailing Address702 SW 8TH ST BENTONVILLE, AR 72716
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWALMART VISION CENTER 30-5859
Other Name TypeDoing Business As (3)
Enumeration Date07-30-2015
Last Update Date10-08-2015


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

WALMART VISION CENTER 30-5859
401 N CENTRAL AVE
WASCO, CA
ZIP 93280
Phone: (661) 772-8057
Fax: (661) 758-5736

Get Directions


Mailing Address

WALMART VISION CENTER 30-5859
702 SW 8TH ST
BENTONVILLE, AR
ZIP 72716
Phone: (479) 258-2115
Fax: (479) 277-4331



Authorized Official

Authorized Official Name DEB LAUVER
Authorized Official TitleSPECIALIST
Authorized Official Phone(479) 258-2115

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

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790168649WALMART INC.
Organization
Pharmacy (Community/Retail Pharmacy)401 N CENTRAL AVE
WASCO, CA 93280
(661) 772-8059

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.