Vision Center 30-3602

LBN: Wal-Mart Stores, Inc.
Vision Center 30-3602 is an health care organization with primary practice located at 1100 Lejune Dr , Springfield IL 62703-4537. 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 (217) 529-6336, or through Simmons, David J via phone (479) 277-9373.

Contact Information

Primary practice address
1100 Lejune Dr Springfield IL 62703-4537
Phone: (217) 529-6336
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 1508028333
LBN Legal business name Wal-Mart Stores, Inc.
DBA Doing business as Vision Center 30-3602
Authorized official Simmons, David J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 2008 - 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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