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WALMART VISION CENTER 30-6789
NPI 1063964138
Eyewear Supplier in King, NC

Active since October 25, 2016

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart Vision Center 30-6789 NPPES

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

WALMART VISION CENTER 30-6789 (NPI 1063964138) is a healthcare organization registered as an eyewear supplier in King, North Carolina and active in the NPI registry since October 2016. The organization lists Laura Levine, Dir Healthcare Contract & Enroll, as its authorized official.

NPPES Registry Identity

NPI1063964138
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address204 INGRAM DRKing, NC 27021-8206
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(336) 296-6035
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDir Healthcare Contract & Enroll · (479) 204-8550
Enumeration DateOctober 25, 2016
✔ NPI 1063964138 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
204 INGRAM DR, King, NC 27021
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Vision Center 30-6789

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 ›

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-6789 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-6789

DMEPOS supplier · King, NCOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-6789 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20498513
Medicare Participant SinceJuly 1, 2014
Supplier Location204 Ingram DrKing, NC 27021
Phone(336) 296-6038
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

KRISTINE SAVOY
Pharmacist
204 INGRAM DR
KING, NC 27021
Stokes County (336) 296-6038
AUSTIN NEWSOM PHARMD
Pharmacist
204 INGRAM DR
KING, NC 27021
Stokes County (336) 296-6038
WAL-MART STORES EAST LP
Pharmacy
204 INGRAM DR
KING, NC 27021
Stokes County (336) 296-6038

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 1063964138. It was assigned to this organization in the NPPES registry on October 25, 2016. The provider is doing business as Walmart Vision Center 30-6789.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 204 Ingram Dr, King, NC 27021. The listed phone number is (336) 296-6035.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-6789 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

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 October 25, 2016. 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.