WAL-MART STORES EAST, LP
NPI 1164503157
Eyewear Supplier in Poplar Bluff, MO

Active since October 18, 2006
333 S WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 686-6420 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 1164503157), doing business as Vision Center 30-0019, is a healthcare organization registered as an eyewear supplier in Poplar Bluff, Missouri and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164503157
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address333 S WESTWOOD BLVDPoplar Bluff, MO 63901-5519
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1164503157 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
333 S WESTWOOD BLVD, Poplar Bluff, MO 63901

Other Names 1

Doing Business AsVision Center 30-0019

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

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-0019 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-0019

DMEPOS supplier · Poplar Bluff, MOOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-0019 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)20491529
Medicare Participant SinceJuly 1, 2014
Supplier Location333 S Westwood BlvdPoplar Bluff, MO 63901
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 9

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

Optometrist
333 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Optometrist
333 S WESTWOOD BLVD, VISION CENTER
POPLAR BLUFF, MO 63901
Optometrist
333 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Pharmacist
333 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Pharmacist
333 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Pharmacist
333 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Pharmacist
333 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Pharmacy (Community/Retail Pharmacy)
333 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164503157, enumerated as an "organization" on October 18, 2006.

The provider is located at 333 S WESTWOOD BLVD POPLAR BLUFF, MO 63901 and the phone number is (573) 686-6420.

Eyewear Supplier with taxonomy code 332H00000X.

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