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WAL-MART STORES EAST, LP
NPI 1154281673
Eyewear Supplier in The Villages, FL

Active since November 17, 2025
1115 WAXMAN DR, THE VILLAGES, FL 32163(352) 461-5369 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1154281673) is a healthcare organization registered as an eyewear supplier in The Villages, Florida and active in the NPI registry since November 2025. The organization lists Kimberly Canonic, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1154281673
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address1115 WAXMAN DRThe Villages, FL 32163-6115
Mailing Address1 Customer DrBentonville, AR 72716-0445
Phone(352) 461-5369
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector Of Health Care Contracting · (480) 277-6348
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1154281673 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
1115 WAXMAN DR, The Villages, FL 32163
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

LUIS E SOTO
Technician/Technologist (Optician)
1115 WAXMAN DR
THE VILLAGES, FL 32163
Sumter County (352) 461-5385
WAL-MART STORES EAST, LP
Pharmacy
1115 WAXMAN DR
THE VILLAGES, FL 32163
Sumter County (352) 461-5369

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 1154281673. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 1115 Waxman Dr, The Villages, FL 32163. The listed phone number is (352) 461-5369.

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

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

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.