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WAL-MART STORES, INC.
NPI 1366452518
Eyewear Supplier in Dixon, IL

Active since August 09, 2006
1640 S GALENA AVE, DIXON, IL 61021(815) 288-7770 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Wal-mart Stores, Inc. NPPES

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

WAL-MART STORES, INC. (NPI 1366452518), doing business as Vision Center 30-5399, is a healthcare organization registered as an eyewear supplier in Dixon, Illinois and active in the NPI registry since August 2006. The organization lists Tammy J Boyd, Contract Coordinator, as its authorized official.

NPPES Registry Identity

NPI1366452518
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES, INC.
Location Address1640 S GALENA AVEDixon, IL 61021-9611
Mailing Address702 Sw 8th StBentonville, AR 72716-0235
Phone(815) 288-7770
Organization SubpartNo
Authorized OfficialTammy J BoydContract Coordinator · (479) 277-1359
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1366452518 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
1640 S GALENA AVE, Dixon, IL 61021
Open in Google Maps ↗

Other Names 1

Doing Business AsVision Center 30-5399

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 4

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

OSAMUDIAME MAGDALENE OLAWOORE PHAMD
Pharmacist
1640 S GALENA AVE
DIXON, IL 61021
Lee County (815) 288-7770
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
1640 S GALENA AVE
DIXON, IL 61021
Lee County (815) 288-7797
LESLIE DANIEL GRIFFIN
Pharmacist
1640 S GALENA AVE
DIXON, IL 61021
Lee County (815) 288-7797
JAMES MELVIN ANDERSON
Pharmacist
1640 S GALENA AVE
DIXON, IL 61021
Lee County (815) 288-7797

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, Inc.'s NPI number?

The NPI number for Wal-Mart Stores, Inc. is 1366452518. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is doing business as Vision Center 30-5399.

Where is Wal-Mart Stores, Inc. located?

Wal-Mart Stores, Inc. is located at 1640 S Galena Ave, Dixon, IL 61021. The listed phone number is (815) 288-7770.

What is Wal-Mart Stores, Inc.'s specialty?

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

What insurance does Wal-Mart Stores, Inc. accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart Stores, Inc. 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, Inc. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.