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WAL-MART STORES EAST, LP
NPI 1114082997
Eyewear Supplier in Macclenny, FL

Active since December 22, 2006
9218 SO. STATE ROAD 228, MACCLENNY, FL 36063(904) 259-4760 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1114082997), doing business as Wal-mart Vision Center 30-1205, is a healthcare organization registered as an eyewear supplier in Macclenny, Florida and active in the NPI registry since December 2006. The organization lists Bj Rice, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1114082997
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address9218 SO. STATE ROAD 228Macclenny, FL 36063
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(904) 259-4760
Organization SubpartNo
Authorized OfficialBj RiceProvider Enrollment Specialist · (479) 277-9835
Enumeration DateDecember 22, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1114082997 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
9218 SO. STATE ROAD 228, Macclenny, FL 36063
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Other Names 1

Doing Business AsWal-mart Vision Center 30-1205

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 ›

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 1114082997. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider is doing business as Wal-Mart Vision Center 30-1205.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 9218 So. State Road 228, Macclenny, FL 36063. The listed phone number is (904) 259-4760.

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

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

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

Health plans from Blue Cross and Blue Shield of Louisiana 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 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.