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WALMART VISION CENTER 30-0154
NPI 1235687542
Eyewear Supplier in Abingdon, VA

Active since September 15, 2016CLIA 49D2115990 · Waiver
16032 FIFTEEN MILE BOULEVARD, ABINGDON, VA 24211(479) 204-8550 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 26, 2017, Sep 15, 2016 (2 updates tracked since 2016).

About Walmart Vision Center 30-0154 NPPES

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

WALMART VISION CENTER 30-0154 (NPI 1235687542) is a healthcare organization registered as an eyewear supplier in Abingdon, Virginia and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Laura Levine, Dir Healthcare Contract & Enroll, as its authorized official.

NPPES Registry Identity

NPI1235687542
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address16032 FIFTEEN MILE BOULEVARDAbingdon, VA 24211-0000
Mailing Address702 Sw 8th St, Ms 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(479) 204-8550
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDir Healthcare Contract & Enroll · (479) 204-8550
Enumeration DateSeptember 15, 2016
Last NPPES UpdateJanuary 26, 20172 updates tracked since enumeration
✔ NPI 1235687542 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
16032 FIFTEEN MILE BOULEVARD, Abingdon, VA 24211
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Other Names 1

Doing Business AsWalmart Vision Center 30-0154

Other Identifiers 1

Medicare NSC4355052981VA

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 ›

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 49D2115990

Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy 10-0154 · Abingdon, VA
Active · expires Jul 17, 2028
CLIA Number49D2115990
Laboratory TypePharmacy
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorChristy R. Bucklen-Bower
Laboratory Phone(479) 258-6734
Laboratory LocationWal-Mart Stores East, LP Dba Wal-Mart Pharmacy 10-015416032 Fifteen Mile Boulevard, Abingdon, VA 24211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-0154 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-0154

DMEPOS supplier · Abingdon, VAOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-0154 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)20497619
Medicare Participant SinceJuly 1, 2014
Supplier Location16032 Fifteen Mile BoulevardAbingdon, VA 24211
Phone(276) 619-5748
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
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1235687542. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is doing business as Walmart Vision Center 30-0154.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 16032 Fifteen Mile Boulevard, Abingdon, VA 24211. The listed phone number is (479) 204-8550.

What is Wal-Mart Stores East, LP's specialty?

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

Does Wal-Mart Stores East, LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-0154 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 49D2115990) is associated with this NPI, valid through July 17, 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 January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.