WALMART VISION CENTER 30-4102
NPI 1912445487
Eyewear Supplier in Castroville, TX

NPI Status: Active since February 06, 2017

Contact Information

1151 US HWY 90 E
CASTROVILLE, TX
ZIP 78009
Phone: (830) 538-6356
Fax: (830) 538-6361

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  • Organization
  • Eyewear Supplier
  • Accepts Insurance
  • CLIA Number: 45D2126032
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 02-16-2027

About WALMART VISION CENTER 30-4102

This page provides the complete NPI Profile along with additional information for Walmart Vision Center 30-4102, a provider established in Castroville, Texas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1912445487 assigned on February 2017. 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. 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 30-4102. The authorized official of this NPI record is Kylee Fisher (Manager)

NPI
1912445487
Provider Legal Name
WAL-MART STORES TEXAS, LLC
Other Organization Name
WALMART VISION CENTER 30-4102
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1151 US HWY 90 E CASTROVILLE, TX 78009
Location Phone
(830) 538-6356
Location Fax
(830) 538-6361
Mailing Address
702 SW 8TH ST BENTONVILLE, AR 72716
Mailing Phone
(479) 277-1242
Mailing Fax
(830) 538-6361
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-06-2017
Last Update Date
02-06-2017
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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.

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

KYLEE FISHER

Authorized Official Title
MANAGER
Authorized Official Phone
(479) 204-1258

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
45D2126032
Facility Type
Pharmacy
Certificate Effective Date
February 17, 2025
Certificate Expiration Date
February 16, 2027
Laboratory Director
JACOB ZINSMEYER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walmart Vision Center 30-4102 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.

Reviews for WALMART VISION CENTER 30-4102

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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 1912445487, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 1 → 2 4 → 8 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 8 + 4 + 1 + 0 + 4 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1912445487.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
1151 US HWY 90 E
CASTROVILLE, TX 78009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912445487, enumerated as an "organization" on February 06, 2017.

The provider is located at 1151 US HWY 90 E CASTROVILLE, TX 78009 and the phone number is (830) 538-6356.

Eyewear Supplier with taxonomy code 332H00000X.

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