Vision Center 30-5295

LBN: Wal-Mart Stores East, L.P.
Vision Center 30-5295 is an health care organization with primary practice located at 965 Broadhollow Rd , Farmingdale NY 11735. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty. Wal-Mart Stores East, L.P. can be contacted via phone (631) 694-3520, or through Gundberg, Cory Jon via phone (479) 277-9621.

Contact Information

Primary practice address
965 Broadhollow Rd Farmingdale NY 11735
Phone: (631) 694-3520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gundberg, Cory Jon
Phone: (479) 277-9621

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1013048529
LBN Legal business name Wal-Mart Stores East, L.P.
DBA Doing business as Vision Center 30-5295
Authorized official Gundberg, Cory Jon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Sep 4th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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