Vision Center 30-1787

LBN: Wal-Mart Stores, Inc.
Vision Center 30-1787 is an health care organization with primary practice located at 2014 Kitty Hawk Ave , Carroll IA 51401. 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, Inc. can be contacted via phone (712) 792-7688, or through Simmons, David J via phone (479) 277-9373.

Contact Information

Primary practice address
2014 Kitty Hawk Ave Carroll IA 51401
Phone: (712) 792-7688
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simmons, David J
Phone: (479) 277-9373

Health care specialties

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

Profile Details

NPI number 1356510317
LBN Legal business name Wal-Mart Stores, Inc.
DBA Doing business as Vision Center 30-1787
Authorized official Simmons, David J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 17 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.

Request for update

Popular Providers