Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WAL-MART STORES EAST, LP
NPI 1760394472
Technician/Technologist - Optician in Davenport, FL

Active since September 18, 2026
41176 HWY 27, DAVENPORT, FL 33837(479) 277-3665 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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 1760394472), doing business as Walmart Vision Center 30-2779, is a healthcare organization registered as an optician in Davenport, Florida and active in the NPI registry since September 2026. The organization lists Kimberly Canonic, Director, Billing, as its authorized official.

NPPES Registry Identity

NPI1760394472
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWAL-MART STORES EAST, LP
Location Address41176 HWY 27Davenport, FL 33837-1005
Mailing Address1 Customer Dr # Ms 0445Bentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector, Billing · (480) 853-0515
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 16, 2026
NPI 1760394472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedEyewear SupplierTaxonomy 332H00000X
41176 HWY 27, Davenport, FL 33837

Other Names 1

Doing Business AsWalmart Vision Center 30-2779

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Pharmacy
41176 HWY 27
DAVENPORT, FL 33837

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 1760394472. It was assigned to this organization in the NPPES registry on September 18, 2026. The provider is doing business as Walmart Vision Center 30-2779.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 41176 Hwy 27, Davenport, FL 33837. The listed phone number is (479) 277-3665.

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

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.