WALMART, INC.
NPI 1396512059
Technician/Technologist - Optician in Prescott, AZ
NPI Status: Active since December 04, 2023
Contact Information
3050 E STATE ROUTE 69
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-3933
- Organization
- Technician/Technologist
- Optician
- CLIA Number: 03D2157985
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 11-18-2026
About WALMART, INC.
This page provides the complete NPI Profile along with additional information for Walmart, Inc., a provider established in Prescott, Arizona operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1396512059 assigned on December 2023. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Michele Garvey (Director Of Health Care Contracting)
- NPI
- 1396512059
- Provider Name
- WALMART, INC.
- Entity Type
- Organization
- Location Address
- 3050 E STATE ROUTE 69 PRESCOTT, AZ 86301
- Location Phone
- (928) 445-3933
- Mailing Address
- 702 SW 8TH ST BENTONVILLE, AR 72716
- Mailing Phone
- (479) 258-2115
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2023
- Last Update Date
- 12-04-2023
- 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
Technician/Technologist Optician
- Taxonomy Code
- 156FX1800X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
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 | 332H00000X | Suppliers | Eyewear Supplier |
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
- 03D2157985
- Facility Type
- Pharmacy
- Certificate Effective Date
- November 19, 2024
- Certificate Expiration Date
- November 18, 2026
- Laboratory Director
- CHAEEUN IRENE LIM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walmart, Inc. 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 | 9 | 6 | 5 | 1 | 2 | 0 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 10 | 1 | 4 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 0 + 1 + 4 + 0 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1396512059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336558683 | EMILY GUNNERSON Individual | Pharmacist | 3050 E STATE ROUTE 69 PRESCOTT, AZ 86301 (928) 445-3020 |
| 1750175535 | ROVENA R KENNEDY LDO Individual | Technician/Technologist (Optician) | 3050 E STATE ROUTE 69 PRESCOTT, AZ 86301 (928) 445-3933 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396512059, enumerated in the NPI registry as an "organization" on December 04, 2023
The provider is located at 3050 E State Route 69 Prescott, Az 86301 and the phone number is (928) 445-3933
This medical organization specializes in Technician/Technologist with taxonomy code 156FX1800X with a focus in Optician
The provider's CLIA number is 03D2157985 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 December 04, 2023. 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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