WALMART VISION CENTER 30-5074
NPI 1366821217
Eyewear Supplier in Dallas, TX
NPI Status: Active since May 26, 2015
Contact Information
15757 COIT RD
DALLAS, TX
ZIP 75248
Phone: (972) 235-0619
Fax: (972) 235-0620
- Organization
- Eyewear Supplier
- CLIA Number: 45D2103206
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 10-06-2025
About WALMART VISION CENTER 30-5074
This page provides the complete NPI Profile along with additional information for Walmart Vision Center 30-5074, a provider established in Dallas, Texas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1366821217 assigned on May 2015. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Walmart Vision Center 30-5074. The authorized official of this NPI record is Laura Levine (Director)
- NPI
- 1366821217
- Provider Legal Name
- WAL-MART STORES TEXAS, LLC
- Other Organization Name
- WALMART VISION CENTER 30-5074
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 15757 COIT RD DALLAS, TX 75248
- Location Phone
- (972) 235-0619
- Location Fax
- (972) 235-0620
- Mailing Address
- 702 SW 8TH ST BENTONVILLE, AR 72716
- Mailing Phone
- (479) 204-8550
- Mailing Fax
- (972) 235-0620
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-26-2015
- Last Update Date
- 05-26-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2103206
- Facility Type
- Pharmacy
- Certificate Effective Date
- October 07, 2023
- Certificate Expiration Date
- October 06, 2025
- Laboratory Director
- JOSIAH A. DARE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walmart Vision Center 30-5074 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 8 | 2 | 1 | 2 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 16 | 2 | 2 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 6 + 2 + 2 + 2 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1366821217 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407234768 | ERCA SPANISH VILLAGE LLC Organization | Clinic/Center (Emergency Care) | 15757 COIT RD STE 434 DALLAS, TX 75248 (972) 403-1155 |
| 1104103605 | MR. JOSIAH ADETAYO DARE Individual | Pharmacist | 15757 COIT RD DALLAS, TX 75248 (972) 235-0619 |
| 1891239935 | EMERGIS ER COIT, LLC Organization | Special Hospital | 15757 COIT RD SUITE 100 DALLAS, TX 75248 (972) 992-7402 |
| 1477181550 | MR. HAMED A ABIOYE Individual | Pharmacist | 15757 COIT RD DALLAS, TX 75248 (972) 235-0619 |
| 1659974228 | NOUR NOWAR PHARM. D Individual | Pharmacist | 15757 COIT RD DALLAS, TX 75248 (972) 235-0619 |
| 1578580627 | WAL-MART STORES TEXAS LLC Organization | Pharmacy (Community/Retail Pharmacy) | 15757 COIT RD DALLAS, TX 75248 (972) 235-0619 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366821217, enumerated in the NPI registry as an "organization" on May 26, 2015
The provider is located at 15757 Coit Rd Dallas, Tx 75248 and the phone number is (972) 235-0619
This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X
The provider's CLIA number is 45D2103206 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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