WAL-MART STORES, INC
NPI 1184711632
Eyewear Supplier in Medford, OR

Active since October 06, 2006
3615 CRATER LAKE HWY, MEDFORD, OR 97504(541) 770-2010 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 1184711632), doing business as Vision Center 30-2029, is a healthcare organization registered as an eyewear supplier in Medford, Oregon and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1184711632
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES, INC
Location Address3615 CRATER LAKE HWYMedford, OR 97504-9259
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 6, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1184711632 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
3615 CRATER LAKE HWY, Medford, OR 97504

Other Names 1

Doing Business AsVision Center 30-2029

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 8

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

Pharmacist
3615 CRATER LAKE HWY
MEDFORD, OR 97504
Eyewear Supplier
3615 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacist
3615 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacy (Community/Retail Pharmacy)
3615 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacist
3615 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacist
3615 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacist
3615 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacist
3615 CRATER LAKE HWY
MEDFORD, OR 97504

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 1184711632. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as Vision Center 30-2029.

Where is Wal-Mart Stores, Inc located?

Wal-Mart Stores, Inc is located at 3615 Crater Lake Hwy, Medford, OR 97504. The listed phone number is (541) 770-2010.

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.