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WALMART VISION CENTER 30-1566
NPI 1053846345
Eyewear Supplier in Goshen, IN

Active since April 25, 2017
4024 ELKHART RD STE 2, GOSHEN, IN 46526(479) 204-1258(479) 277-4331 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart Vision Center 30-1566 NPPES

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

WALMART VISION CENTER 30-1566 (NPI 1053846345) is a healthcare organization registered as an eyewear supplier in Goshen, Indiana and active in the NPI registry since April 2017. The organization lists Kylee Fisher, Manager, as its authorized official.

NPPES Registry Identity

NPI1053846345
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address4024 ELKHART RD STE 2Goshen, IN 46526-5801
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1242 · Fax (479) 277-4331
Phone(479) 204-1258
Fax(479) 277-4331
Organization SubpartYesParent: Wal-mart Stores, Inc
Authorized OfficialKylee FisherManager · (479) 204-1258
Enumeration DateApril 25, 2017
✔ NPI 1053846345 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
4024 ELKHART RD STE 2, Goshen, IN 46526
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Other Names 1

Doing Business AsWalmart Vision Center 30-1566

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 2

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

MARILYN GRACE KINDIG
Pharmacist
4024 ELKHART RD STE 2
GOSHEN, IN 46526
Elkhart County (574) 875-6921
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
4024 ELKHART RD STE 2
GOSHEN, IN 46526
Elkhart County (574) 875-6921

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 1053846345. It was assigned to this organization in the NPPES registry on April 25, 2017. The provider is doing business as Walmart Vision Center 30-1566.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 4024 Elkhart Rd Ste 2, Goshen, IN 46526. The listed phone number is (479) 204-1258.

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 April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.