WAL-MART STORES EAST, LP
NPI 1952483083
Eyewear Supplier in Lilburn, GA

Active since October 19, 2006
4004 LAWRENCEVILLE HWY NW, LILBURN, GA 30047(770) 921-9224 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, Lp NPPES

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

WAL-MART STORES EAST, LP (NPI 1952483083), doing business as Vision Center 30-1373, is a healthcare organization registered as an eyewear supplier in Lilburn, Georgia and active in the NPI registry since October 2006. The organization lists Nicole D Gentile, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1952483083
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address4004 LAWRENCEVILLE HWY NWLilburn, GA 30047-2820
Mailing Address702 Sw 8th St.Bentonville, AR 72716-0235
Organization SubpartNo
Authorized OfficialNicole D GentileNpi Coordinator · (316) 788-5580
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1952483083 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 30-1373

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.

Optometrist
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Optometrist
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Pharmacist
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Pharmacist
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Pharmacist
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Pharmacist
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Pharmacist
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Pharmacy (Community/Retail Pharmacy)
4004 LAWRENCEVILLE HWY NW
LILBURN, GA 30047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952483083, enumerated as an "organization" on October 19, 2006.

The provider is located at 4004 LAWRENCEVILLE HWY NW LILBURN, GA 30047 and the phone number is (770) 921-9224.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.