VISION CENTER 30-1032
NPI 1184857351
Technician/Technologist - Optician in Lynn Haven, FL

Active since September 03, 2009CLIA 10D2179259 · Waiver
2101 S HIGHWAY 77, LYNN HAVEN, FL 32444(850) 785-0307 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vision Center 30-1032 NPPES

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

VISION CENTER 30-1032 (NPI 1184857351) is a healthcare organization registered as an optician in Lynn Haven, Florida and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Holly C Wilkinson, Health & Wellness Optical Insurance, as its authorized official.

NPPES Registry Identity

NPI1184857351
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWAL-MART STORES EAST, LP
Location Address2101 S HIGHWAY 77Lynn Haven, FL 32444-4631
Mailing Address702 Sw 8th StBentonville, AR 72716-0235
Organization SubpartNo
Authorized OfficialHolly C WilkinsonHealth & Wellness Optical Insurance · (479) 204-8320
Enumeration DateSeptember 3, 2009
NPI 1184857351 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
2101 S HIGHWAY 77, Lynn Haven, FL 32444

Other Names 1

Doing Business AsVision Center 30-1032

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 10D2179259

Wal-Mart Store East, LP · Lynn Haven, FL
Active · expires Feb 18, 2028
CLIA Number10D2179259
Laboratory TypePharmacy
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorKimberly Bergman
Laboratory Phone(850) 265-2696
Laboratory LocationWal-Mart Store East, LP2101 S Hwy 77, Lynn Haven, FL 32444
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-1032 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-1032

DMEPOS supplier · Lynn Haven, FLOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-1032 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)20495441
Medicare Participant SinceJuly 1, 2014
Supplier Location2101 S Hwy 77Lynn Haven, FL 32444
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 5

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

Optometrist
2101 S HIGHWAY 77, VISION CENTER
LYNN HAVEN, FL 32444
Pharmacist
2101 S HIGHWAY 77
LYNN HAVEN, FL 32444
Pharmacist
2101 S HIGHWAY 77
LYNN HAVEN, FL 32444
Optometrist
2101 S HIGHWAY 77
LYNN HAVEN, FL 32444
Pharmacy (Community/Retail Pharmacy)
2101 S HIGHWAY 77
LYNN HAVEN, FL 32444

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 1184857351. It was assigned to this organization in the NPPES registry on September 3, 2009. The provider is doing business as Vision Center 30-1032.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 2101 S Highway 77, Lynn Haven, FL 32444. The listed phone number is (850) 785-0307.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-1032 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Wal-Mart Stores East, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2179259) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.