WAL-MART VISION CENTER 30-5245
NPI 1750484713
Eyewear Supplier in San Antonio, TX
NPI Status: Active since September 06, 2006
Contact Information
3302 SE MILITARY DR
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 337-4562
- Organization
- Eyewear Supplier
- Accepts Insurance
- CLIA Number: 45D2147605
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 04-22-2026
About WAL-MART VISION CENTER 30-5245
This page provides the complete NPI Profile along with additional information for Wal-mart Vision Center 30-5245, a provider established in San Antonio, Texas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1750484713 assigned on September 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 12 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 Wal-mart Vision Center 30-5245. The authorized official of this NPI record is Laura Levine (Manager, Gov't Contracting)
- NPI
- 1750484713
- Provider Legal Name
- WAL-MART STORES TEXAS, LLC
- Other Organization Name
- WAL-MART VISION CENTER 30-5245
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3302 SE MILITARY DR SAN ANTONIO, TX 78223
- Location Phone
- (210) 337-4562
- Mailing Address
- 702 SW 8TH ST BENTONVILLE, AR 72716
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-06-2006
- Last Update Date
- 06-06-2013
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D2147605
- Facility Type
- Pharmacy
- Certificate Effective Date
- April 23, 2024
- Certificate Expiration Date
- April 22, 2026
- Laboratory Director
- MARISSA G. KITAJIMA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wal-mart Vision Center 30-5245 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 | 7 | 5 | 0 | 4 | 8 | 4 | 7 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 8 | 8 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 8 + 8 + 7 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1750484713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104076900 | EXCELLENT EYE CARE Organization | Optometrist | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 858-9249 |
| 1932126166 | WAL-MART STORES TEXAS LLC Organization | Pharmacy (Community/Retail Pharmacy) | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 337-4434 |
| 1164022653 | RON ABRAHAM PHARMD Individual | Pharmacist | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 337-4434 |
| 1518561323 | MR. KEYURKUMAR UPENDRAKUMAR SHAH RPH Individual | Pharmacist | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 337-4434 |
| 1285210765 | MONICA CANDELARIA Individual | Pharmacist | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 337-4434 |
| 1992399851 | FIONA PHUONG TRAN Individual | Pharmacist | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 337-4434 |
| 1194417089 | MIGUEL ANGEL RODRIGUEZ SR. Individual | Technician/Technologist (Optician) | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 337-4562 |
| 1447012935 | 20/15 VISION PLLC. Organization | Optometrist | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 330-6192 |
| 1053588921 | DR. GRACIELA MARIALUISA SABLE O.D. Individual | Optometrist | 3302 SE MILITARY DR SAN ANTONIO, TX 78223 (210) 858-9249 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750484713, enumerated in the NPI registry as an "organization" on September 06, 2006
The provider is located at 3302 Se Military Dr San Antonio, Tx 78223 and the phone number is (210) 337-4562
This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2147605 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 September 06, 2006. 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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