VISION CENTER 30-3782
NPI 1114196177
Technician/Technologist - Optician in Orlando, FL

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

The NPI number for Wal-Mart Stores East, LP is 1114196177. It was assigned to this organization in the NPPES registry on February 25, 2008. The provider is also known as Vision Center 30-3782.

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 February 25, 2008CLIA Certified · 2 labs

5991 NEW GOLDENROD ROAD, ORLANDO, FL 32822(407) 382-8909 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vision Center 30-3782 NPPES

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

VISION CENTER 30-3782 (NPI 1114196177) is a healthcare organization registered as an optician in Orlando, Florida and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists David J Simmons, Npi Associate, as its authorized official.

NPPES Registry Identity

NPI1114196177

Entity TypeOrganization

Primary Taxonomy156FX1800X

Legal Business NameWAL-MART STORES EAST, LP

Location Address5991 NEW GOLDENROD ROADOrlando, FL 32822

Mailing Address702 Sw 8th StBentonville, AR 72716-0235 · (479) 277-9373 · Fax (479) 277-8176

Phone(407) 382-8909

Organization SubpartNo

Authorized OfficialDavid J SimmonsNpi Associate · (479) 277-9373

Enumeration DateFebruary 25, 2008

✔ NPI 1114196177 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

5991 NEW GOLDENROD ROAD, Orlando, FL 32822

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Other Names 1

Other NameVision Center 30-3782

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2178982

Wal-Mart Stores East LP · Orlando, FL

Active · expires Feb 11, 2028

CLIA Number10D2178982

Laboratory TypePharmacy

Certificate Effective DateFebruary 12, 2026

Certificate Expiration DateFebruary 11, 2028

Laboratory DirectorAshley Luck

Laboratory Phone(407) 382-8383

Laboratory LocationWal-Mart Stores East LP5991 S Goldenrod Rd Atn Walmart Pharmacy 10-3782, Orlando, FL 32822

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2210466

Wal-Mart Stores East LP · Orlando, FL

Active · expires Jan 20, 2027

CLIA Number10D2210466

Laboratory TypePharmacy

Certificate Effective DateJanuary 21, 2025

Certificate Expiration DateJanuary 20, 2027

Laboratory DirectorJitendra Saraswat

Laboratory Phone(407) 563-7190

Laboratory LocationWal-Mart Stores East LP4520 S Semoran Blvd, Orlando, FL 32822

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 1114196177. It was assigned to this organization in the NPPES registry on February 25, 2008. The provider is also known as Vision Center 30-3782.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 5991 New Goldenrod Road, Orlando, FL 32822. The listed phone number is (407) 382-8909.

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 hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.