1. Home
  2. Directory
  3. Florida
  4. Saint Cloud
  5. Eyewear Supplier
  6. NPI Profile

WAL-MART STORES EAST, LP
NPI 1609968791
Eyewear Supplier in Saint Cloud, FL

Active since September 28, 2006CLIA 10D2178956 · Waiver
4400 13TH ST, SAINT CLOUD, FL 34769(407) 957-1300 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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 1609968791), doing business as Vision Center 30-1086, is a healthcare organization registered as an eyewear supplier in Saint Cloud, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1609968791
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address4400 13TH STSaint Cloud, FL 34769-6763
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Phone(407) 957-1300
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateSeptember 28, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1609968791 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
4400 13TH ST, Saint Cloud, FL 34769
Open in Google Maps ↗

Other Names 1

Doing Business AsVision Center 30-1086

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 10D2178956

Wal-Mart Stores East, LP · Saint Cloud, FL
Active · expires Feb 11, 2028
CLIA Number10D2178956
Laboratory TypePharmacy
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorIvelisse Torres
Laboratory Phone(407) 922-9414
Laboratory LocationWal-Mart Stores East, LP4400 13th St, Saint Cloud, FL 34769
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

VIOLA BUCHANAN
Pharmacy Technician
4400 13TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 957-4333
DR. SHIAVUBU WUWIH ABIMEH PHARMD
Pharmacist
4400 13TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 957-4333
YASNNY ROSARIO SALTARES
Student in an Organized Health Care Education/Training Program
4400 13TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 957-4333
JENNIFER SMOTHERS
Pharmacy Technician
4400 13TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 957-4333
ERIC M GRUBER OD, PA
Optometrist
4400 13TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 957-4830
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
4400 13TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 957-4333
DR. ERIC MICHAEL GRUBER O.D.
Optometrist
4400 13TH ST
SAINT CLOUD, FL 34769
Osceola County (407) 957-4830

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 1609968791. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is doing business as Vision Center 30-1086.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 4400 13th St, Saint Cloud, FL 34769. The listed phone number is (407) 957-1300.

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

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

Does Wal-Mart Stores East, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2178956) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wal-Mart Stores East, LP accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart Stores East, LP 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 East, LP was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.