WAL-MART STORES, INC.
NPI 1639182884
Eyewear Supplier in Northlake, IL

Active since August 15, 2006
137 W NORTH AVE, NORTHLAKE, IL 60164(708) 409-0049 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, Inc. NPPES

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

WAL-MART STORES, INC. (NPI 1639182884), doing business as Vision Center 30-1933, is a healthcare organization registered as an eyewear supplier in Northlake, Illinois and active in the NPI registry since August 2006. The organization lists Tammy J Boyd, Contract Coordinator, as its authorized official.

NPPES Registry Identity

NPI1639182884
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES, INC.
Location Address137 W NORTH AVENorthlake, IL 60164-2316
Mailing Address702 Sw 8th StBentonville, AR 72716-0235
Organization SubpartNo
Authorized OfficialTammy J BoydContract Coordinator · (479) 277-1359
Enumeration DateAugust 15, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1639182884 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
137 W NORTH AVE, Northlake, IL 60164

Other Names 1

Doing Business AsVision Center 30-1933

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

Other Providers at the Same Location NPPES 8

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

Point of Service
137 W NORTH AVE
NORTHLAKE, IL 60164
Pharmacist
137 W NORTH AVE
NORTHLAKE, IL 60164
Pharmacy (Community/Retail Pharmacy)
137 W NORTH AVE
NORTHLAKE, IL 60164
Optometrist
137 W NORTH AVE
NORTHLAKE, IL 60164
Optometrist
137 W NORTH AVE, VISION CENTER
NORTHLAKE, IL 60164
Pharmacist
137 W NORTH AVE
NORTHLAKE, IL 60164
Optometrist
137 W NORTH AVE
NORTHLAKE, IL 60164
Pharmacist
137 W NORTH AVE
NORTHLAKE, IL 60164

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 1639182884. It was assigned to this organization in the NPPES registry on August 15, 2006. The provider is doing business as Vision Center 30-1933.

Where is Wal-Mart Stores, Inc. located?

Wal-Mart Stores, Inc. is located at 137 W North Ave, Northlake, IL 60164. The listed phone number is (708) 409-0049.

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 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.