OrganizationActive
Wal-Mart Stores East , Lp
NPI 1063992378 · Optician · Saint Johns, FL
Wal-Mart Stores East , Lp is a Optician organization in Saint Johns, FL (NPI 1063992378).
Provider details
- NPI number
- 1063992378
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Sarah Little, Director of Healthcare Contracting(479) 277-2500
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
845 Durbin Pavilion Dr
Saint Johns, FL 32259-0000
Phone: (479) 277-9170
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Vision Center 30-0928
- Doing business as
- Walmart Vision Center 30-0928
Registry dates
- Enumerated
- 2018-08-16
- Last updated
- 2018-08-16
Frequently asked questions
- What is Wal-Mart Stores East , Lp's NPI number?
- Wal-Mart Stores East , Lp's National Provider Identifier (NPI) is 1063992378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores East , Lp?
- Wal-Mart Stores East , Lp is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Wal-Mart Stores East , Lp located?
- Wal-Mart Stores East , Lp's practice location on file with NPPES is 845 Durbin Pavilion Dr, Saint Johns, FL 32259-0000.
- What is Wal-Mart Stores East , Lp's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores East , Lp is (479) 277-9170.
- Who is the authorized official for Wal-Mart Stores East , Lp?
- The authorized official listed on Wal-Mart Stores East , Lp's NPPES record is Sarah Little, Director of Healthcare Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores East , Lp's NPI active?
- Yes — Wal-Mart Stores East , Lp's NPI (1063992378) is active in the NPPES registry as of the last update on 2018-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.