1. Home
  2. Directory
  3. Illinois
  4. Pontiac
  5. Eyewear Supplier
  6. NPI Profile

WAL-MART STORES, INC. DBA WAL-MART
NPI 1225168750
Eyewear Supplier in Pontiac, IL

Active since March 06, 2007
1706 W REYNOLDS ST, PONTIAC, IL 61764(815) 842-2439 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Wal-mart Stores, Inc. Dba Wal-mart NPPES

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

WAL-MART STORES, INC. DBA WAL-MART (NPI 1225168750), doing business as Vision Center 30-1386, is a healthcare organization registered as an eyewear supplier in Pontiac, Illinois and active in the NPI registry since March 2007. The organization lists David J. Simmons, Npi Associate, as its authorized official.

NPPES Registry Identity

NPI1225168750
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES, INC. DBA WAL-MART
Location Address1706 W REYNOLDS STPontiac, IL 61764-9695
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0235 · (479) 277-9373 · Fax (479) 277-8176
Phone(815) 842-2439
Organization SubpartNo
Authorized OfficialDavid J. SimmonsNpi Associate · (479) 277-9373
Enumeration DateMarch 6, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1225168750 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
1706 W REYNOLDS ST, Pontiac, IL 61764
Open in Google Maps ↗

Other Names 1

Doing Business AsVision Center 30-1386

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. PARAM JEET SINGH O.D.
Optometrist
1706 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2439
WALMART VISION CENTER
Optometrist
1706 W REYNOLDS ST, WALMART VISION CENTER
PONTIAC, IL 61764
Livingston County (815) 842-2439
YONG UN BAEK PHARMD
Pharmacist
1706 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2230
TARLIKA M PATEL RPH
Pharmacist
1706 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2230
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
1706 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2230
DIANE MARIE WELSHANS PHARM.D.
Pharmacist
1706 W REYNOLDS ST
PONTIAC, IL 61764
Livingston County (815) 842-2230

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. Dba Wal-Mart's NPI number?

The NPI number for Wal-Mart Stores, Inc. Dba Wal-Mart is 1225168750. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Vision Center 30-1386.

Where is Wal-Mart Stores, Inc. Dba Wal-Mart located?

Wal-Mart Stores, Inc. Dba Wal-Mart is located at 1706 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 842-2439.

What is Wal-Mart Stores, Inc. Dba Wal-Mart's specialty?

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

What insurance does Wal-Mart Stores, Inc. Dba Wal-Mart accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart Stores, Inc. Dba Wal-Mart 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, Inc. Dba Wal-Mart 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 11 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.