WAL-MART VISION CENTER 30-5772
NPI 1265776579
Eyewear Supplier in Lecanto, FL

Active since November 27, 2012CLIA 10D2190902 · Waiver
1936 N. LECANTO HWY, LECANTO, FL 34461(352) 228-6003 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wal-mart Vision Center 30-5772 NPPES

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

WAL-MART VISION CENTER 30-5772 (NPI 1265776579) is a healthcare organization registered as an eyewear supplier in Lecanto, Florida and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Amy Powers, Specialist, Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1265776579
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST LP
Location Address1936 N. LECANTO HWYLecanto, FL 34461
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialAmy PowersSpecialist, Plan Enrollment · (479) 204-0709
Enumeration DateNovember 27, 2012
NPI 1265776579 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
1936 N. LECANTO HWY, Lecanto, FL 34461

Other Names 1

Doing Business AsWal-mart Vision Center 30-5772

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

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 10D2190902

Wal-Mart Stores East LP · Lecanto, FL
Active · expires Aug 19, 2026
CLIA Number10D2190902
Laboratory TypePharmacy
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorJoshua Bryant
Laboratory Phone(352) 228-6003
Laboratory LocationWal-Mart Stores East LP1936 N Lecanto Hwy, Lecanto, FL 34461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1265776579. It was assigned to this organization in the NPPES registry on November 27, 2012. The provider is doing business as Wal-Mart Vision Center 30-5772.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 1936 N. Lecanto Hwy, Lecanto, FL 34461. The listed phone number is (352) 228-6003.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2190902) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.