WAL-MART STORES LOUSIANA, LLC
NPI 1487737334
Eyewear Supplier in Leesville, LA

Q: What is Wal-Mart Stores Lousiana, LLC's NPI number?

The NPI number for Wal-Mart Stores Lousiana, LLC is 1487737334. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Vision Center 30-0405.

Q: What is Wal-Mart Stores Lousiana, LLC's specialty?

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

Active since October 23, 2006

2204 S 5TH ST, LEESVILLE, LA 71446(337) 238-9041 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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About Wal-mart Stores Lousiana, Llc NPPES

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

WAL-MART STORES LOUSIANA, LLC (NPI 1487737334), doing business as Vision Center 30-0405, is a healthcare organization registered as an eyewear supplier in Leesville, Louisiana and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1487737334

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART STORES LOUSIANA, LLC

Location Address2204 S 5TH STLeesville, LA 71446-5318

Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235

Phone(337) 238-9041

Organization SubpartNo

Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580

Enumeration DateOctober 23, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1487737334 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

2204 S 5TH ST, Leesville, LA 71446

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Other Names 1

Doing Business AsVision Center 30-0405

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 15

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

LISA M TOVES ABOC

Technician/Technologist (Optician)