Organization Active NPI

Walmart Vision Center

  • Optician
  • Indian Trail, NC
National Provider Identifier
1073293130
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
WALMART VISION CENTER
Doing business as
Walmart Vision Center
Practice address
2101 Younts Rd
Indian Trail, NC 28079-8505
Phone
(704) 882-8341
Fax
(704) 882-8518
NPI assigned
Jul 24, 2023
Organization subpart
Yes
Parent organization
WALMARTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Santos, LDO
Title
Manager
Phone
(704) 882-8341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

2101 Younts Rd
Indian Trail, NC 28079-8505

Mailing address

2101 Younts Rd
Indian Trail, NC 28079-8505
Phone (704) 882-8341

Other names 1

  • WALMART VISION CENTER Doing business as

National Provider Directory

National Provider Directory
Part of
Walmart Vision Center

Locations

2101 Younts Rd
Indian Trail, NC 28079
Phone (704) 882-6853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1073293130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 YOUNTS RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798505",
            "telephone_number": "704-882-8341",
            "fax_number": "704-882-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 YOUNTS RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798505",
            "telephone_number": "704-882-8341",
            "fax_number": "704-882-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART VISION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALMART",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-882-8341",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALMART VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.