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WAL-MART STORES EAST, LP
NPI 1114009040
Eyewear Supplier in Tullahoma, TN

Active since October 19, 2006
2111 N JACKSON ST, TULLAHOMA, TN 37388(931) 455-1382 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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 1114009040), doing business as Vision Center 30-0667, is a healthcare organization registered as an eyewear supplier in Tullahoma, Tennessee and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114009040
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address2111 N JACKSON STTullahoma, TN 37388-2207
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(931) 455-1382
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1114009040 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
2111 N JACKSON ST, Tullahoma, TN 37388
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Other Names 1

Doing Business AsVision Center 30-0667

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


The following 16 providers are registered at the same or a nearby location.

DR. BRADY M PALMER OD
Optometrist
2111 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-1800
WILLIAM OWENS
Dentist (General Practice)
2111 N JACKSON ST, SUITE 9
TULLAHOMA, TN 37388
Coffee County (931) 455-0950
RADA C FULTS PT
Physical Therapist
2111 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
ALICE J PIECH PT
Physical Therapist
2111 N JACKSON ST, SUITE 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
DAVID TRAPANI DPT
Physical Therapist
2111 N JACKSON ST, STE 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
EVAN D DALTON DPT
Physical Therapist
2111 N JACKSON ST, STE. 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
DR. NOEL WHITE PHARM.D.
Pharmacist
2111 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 454-0005
KAREN LOUISE TODARO
Physical Therapist
2111 N JACKSON ST, SUITE 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
MRS. AMY ABBOTT MORRIS PT, DPT
Physical Therapist
2111 N JACKSON ST, STE. 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
CHRISTOPHER HOEFLEIN
Physical Therapist
2111 N JACKSON ST, SUITE 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
DR. BROOKS LYNN TILLER D.P.T.
Physical Therapist
2111 N JACKSON ST, SUITE 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
CYNTHIA OSBORNE WILLIAMSON
Pharmacist
2111 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 454-0035
DR. JESSICA SWEETON PHARMD
Pharmacist
2111 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 454-0005
LAUREN MUSE ASKINS PHARMD
Pharmacist
2111 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 454-0005
MINDI BELL PT
Physical Therapist
2111 N JACKSON ST, SUITE 114
TULLAHOMA, TN 37388
Coffee County (931) 393-4494
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
2111 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 454-0005

Frequently Asked Questions

What is WAL-MART STORES EAST, LP's NPI number?

The NPI number assigned to this healthcare provider is 1114009040, enumerated as an "organization" on October 19, 2006.

Where is the provider located?

The provider is located at 2111 N JACKSON ST TULLAHOMA, TN 37388 and the phone number is (931) 455-1382.

What is the provider's specialty?

Eyewear Supplier with taxonomy code 332H00000X.

What insurance does WAL-MART STORES EAST, LP accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.