WAL-MART STORES EAST, LP
NPI 1033291158
Eyewear Supplier in Indianapolis, IN

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

The NPI number for Wal-Mart Stores East, LP is 1033291158. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Vision Center 30-1580.

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

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

Active since October 19, 2006CLIA 15D2124295 · Waiver

10617 E WASHINGTON ST, INDIANAPOLIS, IN 46229(317) 895-0065 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

On this page

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 1033291158), doing business as Vision Center 30-1580, is a healthcare organization registered as an eyewear supplier in Indianapolis, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Linda M. Epperson, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1033291158

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART STORES EAST, LP

Location Address10617 E WASHINGTON STIndianapolis, IN 46229-2611

Mailing Address702 Sw 8th StreetBentonville, AR 72716-0235

Phone(317) 895-0065

Organization SubpartNo

Authorized OfficialLinda M. EppersonNpi Coordinator · (316) 788-5580

Enumeration DateOctober 19, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1033291158 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

10617 E WASHINGTON ST, Indianapolis, IN 46229

Open in Google Maps ↗

Other Names 1

Doing Business AsVision Center 30-1580

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 15D2124295

Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-1580 · Indianapolis, IN

Active · expires Jan 11, 2027

CLIA Number15D2124295

Laboratory TypePharmacy

Certificate Effective DateJanuary 12, 2025

Certificate Expiration DateJanuary 11, 2027

Laboratory DirectorMohamed Waleed Abdel Aziz

Laboratory Phone(479) 258-6734

Laboratory LocationWal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-158010617 E Washington St, Indianapolis, IN 46229

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 7

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

DR. CODY R PRICE PHARMD

Pharmacist