WALMART VISION CENTER 30-4590 – NPI #1255874970
Eyewear Supplier

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

WALMART VISION CENTER 30-4590 is an eyewear supplier located in LEE'S SUMMIT, MO. NPPES has assigned the NPI number 1255874970 to WALMART VISION CENTER 30-4590 on November 29, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALMART VISION CENTER 30-4590” is a dba name, the actual legal business name for this organization is WAL-MART STORES EAST, LP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332H00000X from the Health Care Provider Taxonomy code set, which is classified as Eyewear Supplier.

The NPI profile was previously updated about 10 years ago on Dec 07, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALMART VISION CENTER 30-4590 below.

NPI Profile for
WAL-MART STORES EAST, LP

NPI Number
1255874970
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAL-MART STORES EAST, LP
Doing Business As (dba): WALMART VISION CENTER 30-4590
Primary location
3410 SW MARKET ST
LEE'S SUMMIT, MO 64082
Phone: (816) 623-3285 Fax: (816) 623-3264
Mailing address
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone: (479) 258-2115 Fax: (479) 277-4331
Organization Subpart
Yes - WALMART VISION CENTER 30-4590 is subpart of another organization.
Authorized Official
LAURA LEVINE
DIR HEALTHCARE CONTRACTING
Phone: (479) 204-8550
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332H00000X
- Eyewear Supplier (Primary)
156FX1800X
- Technician/Technologist / Optician

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.