WAL-MART STORES EAST, LP
NPI 1598857021
Eyewear Supplier in Brandon, FL

Q: What is Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1598857021. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Vision Center 30-2387.

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

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

Active since September 29, 2006CLIA 10D2190136 · Waiver

11110 CAUSEWAY BLVD, BRANDON, FL 33511(813) 661-4426 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

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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 1598857021), doing business as Vision Center 30-2387, is a healthcare organization registered as an eyewear supplier in Brandon, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 9, 2028 and lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1598857021

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART STORES EAST, LP

Location Address11110 CAUSEWAY BLVDBrandon, FL 33511-2900

Mailing Address702 Sw 8th StBentonville, AR 72716-0235

Phone(813) 661-4426

Organization SubpartNo

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

Enumeration DateSeptember 29, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1598857021 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

11110 CAUSEWAY BLVD, Brandon, FL 33511

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Other Names 1

Doing Business AsVision Center 30-2387

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2190136

Wal-Mart Stores East LP · Brandon, FL

Active · expires Aug 9, 2028

CLIA Number10D2190136

Laboratory TypePharmacy

Certificate Effective DateAugust 10, 2026

Certificate Expiration DateAugust 9, 2028

Laboratory DirectorMichelle Huynh

Laboratory Phone(813) 661-4426

Laboratory LocationWal-Mart Stores East LP11110 Causeway Blvd, Brandon, FL 33511

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

CAMILA DIAZ LEGRA LICENSE OPTICIAN

Technician/Technologist (Optician)