WAL-MART STORES EAST, LP
NPI 1275616997
Eyewear Supplier in Niles, MI

Active since October 24, 2006
2107 S 11TH ST, NILES, MI 49120(269) 683-2773 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 1275616997), doing business as Vision Center 30-2010, is a healthcare organization registered as an eyewear supplier in Niles, Michigan and active in the NPI registry since October 2006. The organization lists Linda M. Epperson, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275616997
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address2107 S 11TH STNiles, MI 49120-4060
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0235
Organization SubpartNo
Authorized OfficialLinda M. EppersonNpi Coordinator · (316) 788-5580
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1275616997 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
2107 S 11TH ST, Niles, MI 49120

Other Names 1

Doing Business AsVision Center 30-2010

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

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-2010 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-2010

DMEPOS supplier · Niles, MIOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Walmart Pharmacy 10-2010 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)20494559
Medicare Participant SinceJuly 1, 2014
Supplier Location2107 S 11th StNiles, MI 49120
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
Infusion Drugs
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
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 8

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

Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacy Technician
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacy (Community/Retail Pharmacy)
2107 S 11TH ST
NILES, MI 49120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275616997, enumerated as an "organization" on October 24, 2006.

The provider is located at 2107 S 11TH ST NILES, MI 49120 and the phone number is (269) 683-2773.

Eyewear Supplier with taxonomy code 332H00000X.

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