Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WAL-MART STORES EAST, LP
NPI 1093627168
Technician/Technologist - Optician in St Augustine, FL

Q: What is Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1093627168. It was assigned to this organization in the NPPES registry on September 22, 2026. The provider is doing business as Walmart Vision Center 30-3909.

Q: 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.

Active since September 22, 2026

150 FOUNDRY LN, ST AUGUSTINE, FL 32092(904) 617-6343 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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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 1093627168), doing business as Walmart Vision Center 30-3909, is a healthcare organization registered as an optician in St Augustine, Florida and active in the NPI registry since September 2026. The organization lists Kimberly Canonic, Sr. Director, Billing, as its authorized official.

NPPES Registry Identity

NPI1093627168

Entity TypeOrganization

Primary Taxonomy156FX1800X

Legal Business NameWAL-MART STORES EAST, LP

Location Address150 FOUNDRY LNSt Augustine, FL 32092-1842

Mailing Address1 Customer Dr # Ms 0445Bentonville, AR 72716-0445

Phone(904) 617-6343

Organization SubpartNo

Authorized OfficialKimberly CanonicSr. Director, Billing · (480) 853-0515

Enumeration DateSeptember 22, 2026

NPPES CertifiedSeptember 22, 2026

✔ NPI 1093627168 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

150 FOUNDRY LN, St Augustine, FL 32092

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Other Names 1

Doing Business AsWalmart Vision Center 30-3909

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WAL-MART STORES EAST, LP

Pharmacy

150 FOUNDRY LN
ST AUGUSTINE, FL 32092

St. Johns County (904) 617-6353

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 1093627168. It was assigned to this organization in the NPPES registry on September 22, 2026. The provider is doing business as Walmart Vision Center 30-3909.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 150 Foundry Ln, St Augustine, FL 32092. The listed phone number is (904) 617-6343.

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.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.