WAL-MART STORES EAST, LP
NPI 1093582835
Technician/Technologist - Optician in Asheboro, NC

Active since December 11, 2023CLIA 34D2120291 · Waiver
1226 E DIXIE DR, ASHEBORO, NC 27203(336) 626-2467(336) 625-4982 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wal-mart Stores East, Lp NPPES

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

WAL-MART STORES EAST, LP (NPI 1093582835), doing business as Walmart Vision Center 30-1132, is a healthcare organization registered as an optician in Asheboro, North Carolina and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Matthew Mcmullin, Director, as its authorized official.

NPPES Registry Identity

NPI1093582835
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWAL-MART STORES EAST, LP
Location Address1226 E DIXIE DRAsheboro, NC 27203-8856
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 371-2827 · Fax (479) 277-4331
Fax(336) 625-4982
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector · (479) 371-8711
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 11, 2023
NPI 1093582835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Also ListedEyewear SupplierTaxonomy 332H00000X
1226 E DIXIE DR, Asheboro, NC 27203

Other Names 1

Doing Business AsWalmart Vision Center 30-1132

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 34D2120291

Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy 10-1132 · Asheboro, NC
Active · expires Oct 12, 2026
CLIA Number34D2120291
Laboratory TypePharmacy
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorStacey Burton
Laboratory Phone(479) 258-6734
Laboratory LocationWal-Mart Stores East, LP Dba Wal-Mart Pharmacy 10-11321226 E Dixie Drive, Asheboro, NC 27203
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20493533
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 8

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

Eyewear Supplier
1226 E DIXIE DR
ASHEBORO, NC 27203
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Pharmacist
1226 E DIXIE DR, 1226 E DIXIE DR
ASHEBORO, NC 27203
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Optometrist
1226 E DIXIE DR
ASHEBORO, NC 27203
Pharmacy (Community/Retail Pharmacy)
1226 E DIXIE DR
ASHEBORO, NC 27203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093582835, enumerated as an "organization" on December 11, 2023.

The provider is located at 1226 E DIXIE DR ASHEBORO, NC 27203 and the phone number is (336) 626-2467.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.