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WAL-MART VISION CENTER 30-1071
NPI 1508103078
Eyewear Supplier in Wood River, IL

Active since January 03, 2013
610 WESLEY DR, WOOD RIVER, IL 62095(618) 259-1286 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wal-mart Vision Center 30-1071 NPPES

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

WAL-MART VISION CENTER 30-1071 (NPI 1508103078) is a healthcare organization registered as an eyewear supplier in Wood River, Illinois and active in the NPI registry since January 2013. The organization lists Amy Powers, Specialist, Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1508103078
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES INC
Location Address610 WESLEY DRWood River, IL 62095-1894
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(618) 259-1286
Organization SubpartYes
Authorized OfficialAmy PowersSpecialist, Plan Enrollment · (479) 204-0709
Enumeration DateJanuary 3, 2013
✔ NPI 1508103078 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
610 WESLEY DR, Wood River, IL 62095
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Other Names 1

Doing Business AsWal-mart Vision Center 30-1071

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

Other Providers at the Same Location NPPES 6

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

DR. SUSAN LYNN WAY
Pharmacist
610 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 259-0293
RACHEL GERMANN
Pharmacist
610 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 259-0293
LESLIE A BAKER RPH
Pharmacist
610 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 259-0293
MADISYN TAYLOR SWIFT
Pharmacist
610 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 259-0293
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
610 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 259-0293
CHRISTOPHER HURTTE RPH
Pharmacist
610 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 259-0293

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 1508103078. It was assigned to this organization in the NPPES registry on January 3, 2013. The provider is doing business as Wal-Mart Vision Center 30-1071.

Where is Wal-Mart Stores Inc located?

Wal-Mart Stores Inc is located at 610 Wesley Dr, Wood River, IL 62095. The listed phone number is (618) 259-1286.

What is Wal-Mart Stores Inc'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 Inc was last updated on January 3, 2013. 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.