WAL-MART STORES EAST, L.P.
NPI 1922139344
Eyewear Supplier in Ruskin, FL

Active since March 08, 2007
4928 STATE RD. 674, RUSKIN, FL 33598(813) 633-8606 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About Wal-mart Stores East, L.p. NPPES

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

WAL-MART STORES EAST, L.P. (NPI 1922139344), doing business as Vision Center 30-1209, is a healthcare organization registered as an eyewear supplier in Ruskin, Florida and active in the NPI registry since March 2007. The organization lists David J. Simmons, Npi Associate, as its authorized official.

NPPES Registry Identity

NPI1922139344
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, L.P.
Location Address4928 STATE RD. 674Ruskin, FL 33598
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0235 · (479) 277-9373 · Fax (479) 277-8176
Organization SubpartNo
Authorized OfficialDavid J. SimmonsNpi Associate · (479) 277-9373
Enumeration DateMarch 8, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1922139344 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

Other Names 1

Doing Business AsVision Center 30-1209

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

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-1203 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-1203

DMEPOS supplier · Wimauma, FLOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Walmart Pharmacy 10-1203 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20501399
Medicare Participant SinceJuly 1, 2014
Supplier Location4928 State Road 674Wimauma, FL 33598
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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, L.P.'s NPI number?

The NPI number for Wal-Mart Stores East, L.P. is 1922139344. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Vision Center 30-1209.

Where is Wal-Mart Stores East, L.P. located?

Wal-Mart Stores East, L.P. is located at 4928 State Rd. 674, Ruskin, FL 33598. The listed phone number is (813) 633-8606.

What is Wal-Mart Stores East, L.P.'s specialty?

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

Does Wal-Mart Stores East, L.P. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-1203 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Wal-Mart Stores East, L.P. accept?

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