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WAL-MART STORES EAST, LP
NPI 1053492595
Eyewear Supplier in Mansfield, PA

Active since October 18, 2006
1169 S MAIN ST, MANSFIELD, PA 16933(570) 662-1115 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 1053492595), doing business as Vision Center 30-1945, is a healthcare organization registered as an eyewear supplier in Mansfield, Pennsylvania and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053492595
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address1169 S MAIN STMansfield, PA 16933-9537
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(570) 662-1115
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1053492595 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
1169 S MAIN ST, Mansfield, PA 16933
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Other Names 1

Doing Business AsVision Center 30-1945

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 ›

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.

STACY D DEAN PHARMD
Pharmacist
1169 S MAIN ST
MANSFIELD, PA 16933
Tioga County (570) 662-1120
MAUREEN MARIE CALLAHAN RPH
Pharmacist
1169 S MAIN ST
MANSFIELD, PA 16933
Tioga County (570) 662-1120
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1169 S MAIN ST
MANSFIELD, PA 16933
Tioga County (570) 662-1120
NATHAN HELLMUT BOZZO
Pharmacist
1169 S MAIN ST
MANSFIELD, PA 16933
Tioga County (570) 662-1120
JENNIFER A MCTISH PHARM D
Pharmacist
1169 S MAIN ST
MANSFIELD, PA 16933
Tioga County (570) 662-1120

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 1053492595. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Vision Center 30-1945.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 1169 S Main St, Mansfield, PA 16933. The listed phone number is (570) 662-1115.

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

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

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.