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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WAL-MART STORES EAST, LP
NPI 1417883091
Eyewear Supplier in Laurens, SC

Active since June 22, 2026
922 E MAIN ST, LAURENS, SC 29360(864) 682-8111 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 1417883091), doing business as Walmart Vision Center 30-1130, is a healthcare organization registered as an eyewear supplier in Laurens, South Carolina and active in the NPI registry since June 2026. The organization lists Kimberly Canonic, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1417883091
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address922 E MAIN STLaurens, SC 29360-3616
Mailing Address1 Customer Dr # Ms 0445Bentonville, AR 72716-0445
Phone(864) 682-8111
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector Of Health Care Contracting · (480) 853-0515
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1417883091 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
922 E MAIN ST, Laurens, SC 29360
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Other Names 1

Doing Business AsWalmart Vision Center 30-1130

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. DANICA DAVIS SPEIGHTS PHARMD
Pharmacist
922 E MAIN ST
LAURENS, SC 29360
Laurens County (864) 682-8104
ASHLEY CRUZ
Pharmacist
922 E MAIN ST
LAURENS, SC 29360
Laurens County (864) 682-8100
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
922 E MAIN ST
LAURENS, SC 29360
Laurens County (864) 682-8104
GARY GOSS SR. R. RH.
Pharmacist
922 E MAIN ST
LAURENS, SC 29360
Laurens County (864) 682-8106
MICHAEL RIDDLE R.PH.
Pharmacist
922 E MAIN ST
LAURENS, SC 29360
Laurens County (864) 682-8104
DR. JOSHUA JACOB MEEKS PHARMD
Pharmacist
922 E MAIN ST
LAURENS, SC 29360
Laurens County (864) 682-8104
JAMES SALI BABUMBA
Pharmacist
922 E MAIN ST
LAURENS, SC 29360
Laurens County (512) 825-7510
JESSICA BROOKS PHARMD
Pharmacist
922 E MAIN ST
LAURENS, SC 29360
Laurens County (864) 682-8104

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 1417883091. It was assigned to this organization in the NPPES registry on June 22, 2026. The provider is doing business as Walmart Vision Center 30-1130.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 922 E Main St, Laurens, SC 29360. The listed phone number is (864) 682-8111.

What is Wal-Mart Stores East, LP's specialty?

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

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.