OrganizationActive
Wal-Mart Stores, Inc
NPI 1063800175 · Eyewear Supplier · Council Bluffs, IA
Wal-Mart Stores, Inc is a Eyewear Supplier organization in Council Bluffs, IA (NPI 1063800175).
Provider details
- NPI number
- 1063800175
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Deb Lauver, Specialist Plan Enrollment(478) 258-2115
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 N 16th St
Council Bluffs, IA 51501-0123
Phone: (712) 890-3916
Fax: (712) 352-0288
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Vision Center 30-3150
Registry dates
- Enumerated
- 2014-12-26
- Last updated
- 2014-12-26
Frequently asked questions
- What is Wal-Mart Stores, Inc's NPI number?
- Wal-Mart Stores, Inc's National Provider Identifier (NPI) is 1063800175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores, Inc?
- Wal-Mart Stores, Inc is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Wal-Mart Stores, Inc located?
- Wal-Mart Stores, Inc's practice location on file with NPPES is 1800 N 16th St, Council Bluffs, IA 51501-0123.
- What is Wal-Mart Stores, Inc's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores, Inc is (712) 890-3916.
- Who is the authorized official for Wal-Mart Stores, Inc?
- The authorized official listed on Wal-Mart Stores, Inc's NPPES record is Deb Lauver, Specialist Plan Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores, Inc's NPI active?
- Yes — Wal-Mart Stores, Inc's NPI (1063800175) is active in the NPPES registry as of the last update on 2014-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.