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WAL-MART STORES EAST, LP
NPI 1265517767
Eyewear Supplier in Loganville, GA

Active since October 25, 2006
4221 ATLANTA HWY, LOGANVILLE, GA 30052(770) 554-7481 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

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 1265517767), doing business as Vision Center 30-5252, is a healthcare organization registered as an eyewear supplier in Loganville, Georgia and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1265517767
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address4221 ATLANTA HWYLoganville, GA 30052-7316
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(770) 554-7481
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1265517767 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
4221 ATLANTA HWY, Loganville, GA 30052
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Other Names 1

Doing Business AsVision Center 30-5252

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 11

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

WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (770) 554-6785
JONATHAN M. WALTON-ROBERTS PHARM.D.
Pharmacist
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (770) 554-6785
KRISTIN COOPER
Pharmacist
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (678) 863-7373
DR. MOHAMMAD TINA PHARM.D.
Pharmacist
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (770) 554-6785
DR. ALISA JOYCE BURNETT O.D.
Optometrist
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (478) 368-5385
JONATHAN MULLINS
Technician/Technologist (Optician)
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3360
JACQUELINE LEE LIGHT LDO
Technician/Technologist (Optician)
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3360
ASHLEY THAO
Technician/Technologist (Optician)
4221 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3360

Frequently Asked Questions

What is WAL-MART STORES EAST, LP's NPI number?

The NPI number assigned to this healthcare provider is 1265517767, enumerated as an "organization" on October 25, 2006.

Where is the provider located?

The provider is located at 4221 ATLANTA HWY LOGANVILLE, GA 30052 and the phone number is (770) 554-7481.

What is the provider's specialty?

Eyewear Supplier with taxonomy code 332H00000X.

What insurance does WAL-MART STORES EAST, LP accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.