WALMART VISION CENTER 30-4185
NPI 1083039572
Eyewear Supplier in Cumming, GA

Active since February 20, 2014CLIA 11D2119487 · Waiver
2395 PEACHTREE PKWY, CUMMING, GA 30041(770) 406-5208 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walmart Vision Center 30-4185 NPPES

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

WALMART VISION CENTER 30-4185 (NPI 1083039572) is a healthcare organization registered as an eyewear supplier in Cumming, Georgia and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Laura Levine, Dir Healthcare Contracting & Enroll, as its authorized official.

NPPES Registry Identity

NPI1083039572
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address2395 PEACHTREE PKWYCumming, GA 30041
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDir Healthcare Contracting & Enroll · (479) 204-8550
Enumeration DateFebruary 20, 2014
NPI 1083039572 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
2395 PEACHTREE PKWY, Cumming, GA 30041

Other Names 1

Doing Business AsWalmart Vision Center 30-4185

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2119487

Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-0878 · Cumming, GA
Active · expires Sep 27, 2026
CLIA Number11D2119487
Laboratory TypePharmacy
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorKim Uyen Tran The
Laboratory Phone(479) 258-7034
Laboratory LocationWal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-08781500 Market Place Blvd, Cumming, GA 30041
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Wal-Mart Stores East LP carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Stores East LP

DMEPOS supplier · Cumming, GA

Does not accept Medicare assignment

Wal-Mart Stores East LP 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)20503379
Medicare Participant SinceJuly 1, 2014
Supplier Location2395 Peachtree PkwyCumming, GA 30041
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 5

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

Pharmacist
2395 PEACHTREE PKWY
CUMMING, GA 30041
Pharmacy (Community/Retail Pharmacy)
2395 PEACHTREE PKWY
CUMMING, GA 30041
Optometrist
2395 PEACHTREE PKWY
CUMMING, GA 30041
Optometrist
2395 PEACHTREE PKWY
CUMMING, GA 30041
Pharmacist
2395 PEACHTREE PKWY
CUMMING, GA 30041

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 1083039572. It was assigned to this organization in the NPPES registry on February 20, 2014. The provider is doing business as Walmart Vision Center 30-4185.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 2395 Peachtree Pkwy, Cumming, GA 30041. The listed phone number is (770) 406-5208.

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, Wal-Mart Stores East LP 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.

Does Wal-Mart Stores East, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2119487) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.