Wal-Mart Stores, INC
Eyewear Supplier (Equipment, not the service) in Rockford, IL. Organization (NPI-2).
NPI number1013098151
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1013098151
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores, INC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Vision Center 30-1490 (Doing Business As)
Practice location
7219 Walton StRockford, IL 61108-2607
Phone 815-399-7143
Mailing address
702 Sw 8th St.Bentonville, AR 72716-0235
Authorized official
Nicole D Gentile
Npi Coordinator
3167885580
Is something wrong?
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All 21 Eyewear Supplier providers in Rockford · All 5,035 providers in Rockford
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