NPIMap

Organization Active NPI

Walmart Vision Center

  • Optometrist
  • Pontiac, IL
National Provider Identifier
1487858445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WALMART VISION CENTER
Practice address
1706 W Reynolds St
Walmart Vision Center
Pontiac, IL 61764-9695
Phone
(815) 842-2439
Fax
(815) 842-2452
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Keith E Schramek
Title
Manager
Phone
(815) 842-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

1706 W Reynolds St
Walmart Vision Center
Pontiac, IL 61764-9695

Mailing address

1706 W Reynolds St
Walmart Vision Center
Pontiac, IL 61764-9695
Phone (815) 842-2439

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2,173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1706 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2230

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487858445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W REYNOLDS ST",
            "address_2": "WALMART VISION CENTER",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649695",
            "telephone_number": "815-842-2439",
            "fax_number": "815-842-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W REYNOLDS ST",
            "address_2": "WALMART VISION CENTER",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649695",
            "telephone_number": "815-842-2439",
            "fax_number": "815-842-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHRAMEK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-842-2439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.