National Provider Identifier Database

WALMART VISION CENTER
Optician


Contact Information

WALMART VISION CENTER
3133 E MAIN ST
MOHEGAN LAKE, NY10547-1521
Phone: 914-526-1110
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for WALMART VISION CENTER

NPI Number 1609382241
Legal business name
LBN
WALMART VISION CENTER
Authorized official JESSICA DANAHY - (VISION CENTER MANAGER/LDO)
Entity Organization
Organization subpart No
Enumeration date 12/19/2017
Last updated 12/19/2017 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 006376

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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