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WAL-MART STORES EAST, LP.
NPI 1255108130
Technician/Technologist - Optician in Canton, GA

Active since December 11, 2023
1550 RIVERSTONE PKWY, CANTON, GA 30114(770) 720-1023(770) 479-3403 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wal-mart Stores East, Lp. NPPES

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

WAL-MART STORES EAST, LP. (NPI 1255108130), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in Canton, Georgia and active in the NPI registry since December 2023. The organization lists Michele Garvey, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1255108130
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWAL-MART STORES EAST, LP.
Location Address1550 RIVERSTONE PKWYCanton, GA 30114-2918
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331
Phone(770) 720-1023
Fax(770) 479-3403
Organization SubpartNo
Authorized OfficialMichele GarveyDirector Of Health Care Contracting · (479) 277-2611
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 11, 2023
✔ NPI 1255108130 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
1550 RIVERSTONE PKWY, Canton, GA 30114
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3164

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-0518 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-0518

DMEPOS supplier · Canton, GAOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-0518 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)20502269
Medicare Participant SinceJuly 1, 2014
Supplier Location1550 Riverstone PkwyCanton, GA 30114
Phone(770) 479-9003
Supplier Specialties
Pharmacy

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
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
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
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 9

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

LAURIE CROFF MARSOLO LDO
Technician/Technologist (Optician)
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (770) 720-1023
SONYA SANFORD RICHARDS PHARMD
Pharmacist
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (770) 479-9003
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (770) 479-9003
DR. KEVIN LADD HATCHER PHARMD
Pharmacist
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (770) 479-9003
DR. RICHARD D. SPOLZINO O.D.
Optometrist
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (770) 720-1025
DR. DIANA GAIL FORD O.D.
Optometrist
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (770) 720-1023
REDICLINIC US, LLC
Clinic/Center
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (866) 607-7334
WAL-MART STORES EAST, LP
Technician/Technologist (Optician)
1550 RIVERSTONE PKWY
CANTON, GA 30114
Cherokee County (770) 720-1023

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 1255108130. It was assigned to this organization in the NPPES registry on December 11, 2023. The provider is doing business as Walmart pharmacy 10-3164.

Where is Wal-Mart Stores East, LP. located?

Wal-Mart Stores East, LP. is located at 1550 Riverstone Pkwy, Canton, GA 30114. The listed phone number is (770) 720-1023.

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 10-0518 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.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP. was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.