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WAL-MART STORES, INC
NPI 1164503272
Eyewear Supplier in Du Quoin, IL

Active since October 17, 2006
215 E GRANTWAY ST, DU QUOIN, IL 62832(618) 542-8438 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, Inc NPPES

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

WAL-MART STORES, INC (NPI 1164503272), doing business as Vision Center 30-0252, is a healthcare organization registered as an eyewear supplier in Du Quoin, Illinois and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164503272
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES, INC
Location Address215 E GRANTWAY STDu Quoin, IL 62832-1923
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(618) 542-8438
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1164503272 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
215 E GRANTWAY ST, Du Quoin, IL 62832
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Other Names 1

Doing Business AsVision Center 30-0252

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

Other Providers at the Same Location NPPES 4

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

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
215 E GRANTWAY ST
DU QUOIN, IL 62832
Perry County (618) 542-2488
BETH KEITH-MUDGETTE RPH
Pharmacist
215 E GRANTWAY ST
DU QUOIN, IL 62832
Perry County (618) 542-2488
MICHAEL DEAN MELVIN RPH
Pharmacist
215 E GRANTWAY ST
DU QUOIN, IL 62832
Perry County (161) 820-1118
SYDNIE CHARD PHARMD
Pharmacist
215 E GRANTWAY ST
DU QUOIN, IL 62832
Perry County (618) 542-2488

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, Inc's NPI number?

The NPI number for Wal-Mart Stores, Inc is 1164503272. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Vision Center 30-0252.

Where is Wal-Mart Stores, Inc located?

Wal-Mart Stores, Inc is located at 215 E Grantway St, Du Quoin, IL 62832. The listed phone number is (618) 542-8438.

What is Wal-Mart Stores, Inc'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, Inc 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.