WAL-MART VISION CENTER 30-3112 – NPI #1386984656
Eyewear Supplier

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

WAL-MART VISION CENTER 30-3112 is an eyewear supplier located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1386984656 to WAL-MART VISION CENTER 30-3112 on February 25, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WAL-MART VISION CENTER 30-3112” is a dba name, the actual legal business name for this organization is WAL-MART STORES TEXAS, LLC. 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 13 years ago on Apr 30, 2013. 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 WAL-MART VISION CENTER 30-3112 below.

NPI Profile for
WAL-MART STORES TEXAS, LLC

NPI Number
1386984656
Enumeration Date

(more than 13 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 TEXAS, LLC
Doing Business As (dba): WAL-MART VISION CENTER 30-3112
Primary location
4096 NORTH FOSTER
SAN ANTONIO, TX 78244
Phone: (210) 507-4959 Fax:
Mailing address
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone: Fax:
Organization Subpart
Yes - WAL-MART VISION CENTER 30-3112 is subpart of another organization.
Authorized Official
AMY POWERS
SPECIALIST, PLAN ENROLLMENT
Phone: (479) 204-0709
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.