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WAL-MART STORES, INC
NPI 1073697629
Eyewear Supplier in Bloomington, IL

Active since October 24, 2006
2225 W MARKET ST, BLOOMINGTON, IL 61704(309) 828-5646 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Wal-mart Stores, Inc NPPES

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

WAL-MART STORES, INC (NPI 1073697629), doing business as Vision Center 30-3459, is a healthcare organization registered as an eyewear supplier in Bloomington, Illinois and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073697629
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES, INC
Location Address2225 W MARKET STBloomington, IL 61704-5014
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(309) 828-5646
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1073697629 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
2225 W MARKET ST, Bloomington, IL 61704
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Other Names 1

Doing Business AsVision Center 30-3459

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 ›

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 1073697629. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Vision Center 30-3459.

Where is Wal-Mart Stores, Inc located?

Wal-Mart Stores, Inc is located at 2225 W Market St, Bloomington, IL 61704. The listed phone number is (309) 828-5646.

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 Blue Cross and Blue Shield of Louisiana 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 September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.