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WAL-MART STORES EAST, LP
NPI 1013098417
Eyewear Supplier in Burlington, NJ

Active since October 18, 2006CLIA 31D2116088 · Waiver
2106 MOUNT HOLLY RD, BURLINGTON, NJ 08016(609) 386-8400 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Wal-mart Stores East, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART STORES EAST, LP (NPI 1013098417), doing business as Vision Center 30-2040, is a healthcare organization registered as an eyewear supplier in Burlington, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1013098417
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address2106 MOUNT HOLLY RDBurlington, NJ 08016-4158
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(609) 386-8400
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1013098417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
2106 MOUNT HOLLY RD, Burlington, NJ 08016
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Other Names 1

Doing Business AsVision Center 30-2040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2116088

Wal-Mart Stores East, LP Dba Walmart Pharmacy 10-2040 · Burlington, NJ
Active · expires Jul 18, 2028
CLIA Number31D2116088
Laboratory TypePharmacy
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorJoelle Cairo
Laboratory Phone(479) 258-6734
Laboratory LocationWal-Mart Stores East, LP Dba Walmart Pharmacy 10-20402106 Mount Holly Road, Burlington, NJ 08016
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUCY OSWARI
Pharmacist
2106 MOUNT HOLLY RD
BURLINGTON, NJ 08016
Burlington County (609) 239-2679
JOELLE ANTOINETTE CAIRO RPH
Pharmacist
2106 MOUNT HOLLY RD
BURLINGTON, NJ 08016
Burlington County (609) 239-2679
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
2106 MOUNT HOLLY RD
BURLINGTON, NJ 08016
Burlington County (609) 239-2679
JASON WU OD
Optometrist
2106 MOUNT HOLLY RD
BURLINGTON, NJ 08016
Burlington County (609) 386-5916
JASON WU OD LLC
Optometrist (Corneal and Contact Management)
2106 MOUNT HOLLY RD
BURLINGTON, NJ 08016
Burlington County (603) 386-5916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1013098417. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Vision Center 30-2040.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 2106 Mount Holly Rd, Burlington, NJ 08016. The listed phone number is (609) 386-8400.

What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Wal-Mart Stores East, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2116088) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wal-Mart Stores East, LP accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart Stores East, LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.