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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: August 23, 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
Phone(336) 626-2467
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
Open in Google Maps ↗

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 Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-1132 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-1132

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

Does not accept Medicare assignment

Walmart Pharmacy 10-1132 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)20493533
Medicare Participant SinceJuly 1, 2014
Supplier Location1226 E Dixie DrAsheboro, NC 27203
Phone(336) 626-5675
Supplier Specialties
Pharmacy

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 8

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

FRANCINE ALDRIDGE THOMPSON
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-5675
MRS. JILL HUDSON
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-5675
STACEY BRUTON PHARMD
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-5675
NATIONAL VISION, INC.
Eyewear Supplier
1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-2467
JICHA VISION OPTOMETRY PLLC
Optometrist
1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-2458
KAREN CREWS R.PH.
Pharmacist
1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-5675
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-5675
PRASOBH MATHEW
Pharmacist
1226 E DIXIE DR, 1226 E DIXIE DR
ASHEBORO, NC 27203
Randolph County (336) 626-5675

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 1093582835. It was assigned to this organization in the NPPES registry on December 11, 2023. The provider is doing business as Walmart Vision Center 30-1132.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 1226 E Dixie Dr, Asheboro, NC 27203. The listed phone number is (336) 626-2467.

What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Does Wal-Mart Stores East, LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-1132 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 34D2120291) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.