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WAL-MART VISION CENTER 30-5625
NPI 1063760817
Eyewear Supplier in Brooklyn Center, MN

Active since August 28, 2012
1200 SHINGLE CREEK CROSSING, BROOKLYN CENTER, MN 55430(763) 566-4065 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wal-mart Vision Center 30-5625 NPPES

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

WAL-MART VISION CENTER 30-5625 (NPI 1063760817) is a healthcare organization registered as an eyewear supplier in Brooklyn Center, Minnesota and active in the NPI registry since August 2012. The organization lists Dianna Painter, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1063760817
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES INC
Location Address1200 SHINGLE CREEK CROSSINGBrooklyn Center, MN 55430
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(763) 566-4065
Organization SubpartNo
Authorized OfficialDianna PainterEnrollment Specialist · (479) 277-1238
Enumeration DateAugust 28, 2012
Last NPPES UpdateAugust 30, 2012
✔ NPI 1063760817 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
1200 SHINGLE CREEK CROSSING, Brooklyn Center, MN 55430
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Other Names 1

Doing Business AsWal-mart Vision Center 30-5625

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 Medica.Insurance ›

Other Providers at the Same Location NPPES

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

JIBAT BEKELE DEGU
Pharmacist
1200 SHINGLE CREEK CROSSING
MINNEAPOLIS, MN 55430
Hennepin County (763) 354-1948

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 Inc's NPI number?

The NPI number for Wal-Mart Stores Inc is 1063760817. It was assigned to this organization in the NPPES registry on August 28, 2012. The provider is doing business as Wal-Mart Vision Center 30-5625.

Where is Wal-Mart Stores Inc located?

Wal-Mart Stores Inc is located at 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430. The listed phone number is (763) 566-4065.

What is Wal-Mart Stores Inc's specialty?

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

What insurance does Wal-Mart Stores Inc accept?

Health plans from Medica list Wal-Mart Stores Inc 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 Inc was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.