WALMART VISION CENTER 30-4323
NPI 1104294065
Eyewear Supplier in Kankakee, IL

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

The NPI number for Wal-Mart Stores, Inc is 1104294065. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Walmart Vision Center 30-4323.

Q: What is Wal-Mart Stores, Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since September 09, 2015

505 RIVERSTONE PKWY, KANKAKEE, IL 60901(479) 204-8550(479) 277-4331 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Walmart Vision Center 30-4323 NPPES

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

WALMART VISION CENTER 30-4323 (NPI 1104294065) is a healthcare organization registered as an eyewear supplier in Kankakee, Illinois and active in the NPI registry since September 2015. The organization lists Laura Levine, Director, as its authorized official.

NPPES Registry Identity

NPI1104294065

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART STORES, INC

Location Address505 RIVERSTONE PKWYKankakee, IL 60901-7207

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331

Phone(479) 204-8550

Fax(479) 277-4331

Organization SubpartYes

Authorized OfficialLaura LevineDirector · (479) 204-8550

Enumeration DateSeptember 9, 2015

Last NPPES UpdateSeptember 11, 2015

✔ NPI 1104294065 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

505 RIVERSTONE PKWY, Kankakee, IL 60901

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Other Names 1

Doing Business AsWalmart Vision Center 30-4323

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 ›

Other Providers at the Same Location NPPES 6

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

WALMART INC.

Pharmacy (Community/Retail Pharmacy)