VISION CENTER 30-5845
NPI 1972803625
Eyewear Supplier in Niceville, FL

Active since October 28, 2010CLIA 10D2180042 · Waiver
1300 JOHN SIMS PKWY E, NICEVILLE, FL 32578(850) 678-8125 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vision Center 30-5845 NPPES

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

VISION CENTER 30-5845 (NPI 1972803625) is a healthcare organization registered as an eyewear supplier in Niceville, Florida and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Dianna Painter, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1972803625
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST LP
Location Address1300 JOHN SIMS PKWY ENiceville, FL 32578
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialDianna PainterEnrollment Specialist · (479) 277-1238
Enumeration DateOctober 28, 2010
NPI 1972803625 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
1300 JOHN SIMS PKWY E, Niceville, FL 32578

Other Names 1

Doing Business AsVision Center 30-5845

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

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 10D2180042

Wal-Mart Store East, LP · Niceville, FL
Active · expires Mar 4, 2028
CLIA Number10D2180042
Laboratory TypePharmacy
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorJessica Smith
Laboratory Phone(850) 678-9209
Laboratory LocationWal-Mart Store East, LP1300 John Sims Pkwy E, Niceville, FL 32578
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-5845 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-5845

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

Does not accept Medicare assignment

Walmart Pharmacy 10-5845 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)20498669
Medicare Participant SinceJuly 1, 2014
Supplier Location1300 John Sims E PkwyNiceville, FL 32578
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
Infusion Drugs
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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

Pharmacist
1300 JOHN SIMS PKWY E
NICEVILLE, FL 32578
Pharmacist
1300 JOHN SIMS PKWY E
NICEVILLE, FL 32578
Pharmacy (Community/Retail Pharmacy)
1300 JOHN SIMS PKWY E
NICEVILLE, FL 32578

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 1972803625. It was assigned to this organization in the NPPES registry on October 28, 2010. The provider is doing business as Vision Center 30-5845.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 1300 John Sims Pkwy E, Niceville, FL 32578. The listed phone number is (850) 678-8125.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-5845 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.

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

Yes. A Certificate of Waiver (number 10D2180042) is associated with this NPI, valid through March 4, 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 October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.