OrganizationActive
Wal-Mart Stores East, Lp
NPI 1114009008 · Optician · Ballwin, MO
Provider details
- NPI number
- 1114009008
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Holly Wilkinson, Health & Wellness Optical Insurance(479) 204-8320
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Practice location
201 Highlands Boulevard Dr
Ballwin, MO 63011-4383
Phone: (636) 256-0697
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th St.
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-1177
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2009-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.