1. Home
  2. Directory
  3. Missouri
  4. Ballwin
  5. Technician Technologist
  6. NPI Profile

VISION CENTER 30-1177
NPI 1114009008
Technician/Technologist - Optician in Ballwin, MO

Active since October 19, 2006
201 HIGHLANDS BOULEVARD DR, BALLWIN, MO 63011(636) 256-0697 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vision Center 30-1177 NPPES

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

VISION CENTER 30-1177 (NPI 1114009008) is a healthcare organization registered as an optician in Ballwin, Missouri and active in the NPI registry since October 2006. The organization lists Holly C Wilkinson, Health & Wellness Optical Insurance, as its authorized official.

NPPES Registry Identity

NPI1114009008
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWAL-MART STORES EAST, LP
Location Address201 HIGHLANDS BOULEVARD DRBallwin, MO 63011-4383
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(636) 256-0697
Organization SubpartNo
Authorized OfficialHolly C WilkinsonHealth & Wellness Optical Insurance · (479) 204-8320
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 3, 2009
✔ NPI 1114009008 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
201 HIGHLANDS BOULEVARD DR, Ballwin, MO 63011
Open in Google Maps ↗

Other Names 1

Doing Business AsVision Center 30-1177

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-1177 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-1177

DMEPOS supplier · Manchester, MOOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-1177 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)20502581
Medicare Participant SinceJuly 1, 2014
Supplier Location201 Highlands Boulevard DrManchester, MO 63011
Phone(636) 256-4835
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
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 6

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

AMY BIAS
Pharmacist
201 HIGHLANDS BOULEVARD DR
MANCHESTER, MO 63011
St. Louis County (314) 346-9424
DR. BRIAN STEFANI PHARM.D.
Pharmacist
201 HIGHLANDS BOULEVARD DR
MANCHESTER, MO 63011
St. Louis County (636) 256-4835
DR. ELDIJANA PILIPOVIC
Pharmacist
201 HIGHLANDS BOULEVARD DR
MANCHESTER, MO 63011
St. Louis County (314) 229-2780
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
201 HIGHLANDS BOULEVARD DR
MANCHESTER, MO 63011
St. Louis County (636) 256-4835
AMY B BRUNIG O.D.
Optometrist
201 HIGHLANDS BOULEVARD DR, VISION CENTER
BALLWIN, MO 63011
St. Louis County (636) 256-3285
DR. SUSAN L CARLISLE O.D.
Optometrist
201 HIGHLANDS BOULEVARD DR
BALLWIN, MO 63011
St. Louis County (636) 256-3285

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 1114009008. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Vision Center 30-1177.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 201 Highlands Boulevard Dr, Ballwin, MO 63011. The listed phone number is (636) 256-0697.

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 10-1177 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.

What insurance does Wal-Mart Stores East, LP accept?

Health plans from Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee 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 September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.