Vision Center 30-4695

LBN: Wal-Mart Stores Inc
Vision Center 30-4695 is an health care organization with primary practice located at 6660 Godfrey Rd , Godfrey IL 62035. 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). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Wal-Mart Stores Inc can be contacted via phone (618) 466-3878, or through Painter, Dianna via phone (479) 277-1238.

Contact Information

Primary practice address
6660 Godfrey Rd Godfrey IL 62035
Phone: (618) 466-3878
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Painter, Dianna
Phone: (479) 277-1238

Health care specialties

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

Profile Details

NPI number 1528368271
LBN Legal business name Wal-Mart Stores Inc
DBA Doing business as Vision Center 30-4695
Authorized official Painter, Dianna
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2010
Last updated Oct 28th, 2010 - about 16 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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