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WAL-MART STORES, INC
NPI 1609090091
Eyewear Supplier in Collinsville, IL

Active since April 13, 2007
1040 COLLINSVILLE CROSSING, COLLINSVILLE, IL 62234(618) 344-4480 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 1609090091), doing business as Vision Center 30-0361, is a healthcare organization registered as an eyewear supplier in Collinsville, Illinois and active in the NPI registry since April 2007. The organization lists Shiela F Douglas, Npi Associate, as its authorized official.

NPPES Registry Identity

NPI1609090091
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES, INC
Location Address1040 COLLINSVILLE CROSSINGCollinsville, IL 62234
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0235
Phone(618) 344-4480
Organization SubpartNo
Authorized OfficialShiela F DouglasNpi Associate · (479) 273-8048
Enumeration DateApril 13, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1609090091 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
1040 COLLINSVILLE CROSSING, Collinsville, IL 62234
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Other Names 1

Doing Business AsVision Center 30-0361

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 ›

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 1609090091. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Vision Center 30-0361.

Where is Wal-Mart Stores, Inc located?

Wal-Mart Stores, Inc is located at 1040 Collinsville Crossing, Collinsville, IL 62234. The listed phone number is (618) 344-4480.

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.