OrganizationActive
Wal-Mart Stores, Inc. Dba Wal-Mart
NPI 1225168750 · Eyewear Supplier · Pontiac, IL
Wal-Mart Stores, Inc. Dba Wal-Mart is a Eyewear Supplier organization in Pontiac, IL (NPI 1225168750).
Provider details
- NPI number
- 1225168750
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- David Simmons, Npi Associate(479) 277-9373
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1706 W Reynolds St
Pontiac, IL 61764-9695
Phone: (815) 842-2439
Street-level locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-1386
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2025-09-11
Frequently asked questions
- What is Wal-Mart Stores, Inc. Dba Wal-Mart's NPI number?
- Wal-Mart Stores, Inc. Dba Wal-Mart's National Provider Identifier (NPI) is 1225168750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores, Inc. Dba Wal-Mart?
- Wal-Mart Stores, Inc. Dba Wal-Mart is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Wal-Mart Stores, Inc. Dba Wal-Mart located?
- Wal-Mart Stores, Inc. Dba Wal-Mart's practice location on file with NPPES is 1706 W Reynolds St, Pontiac, IL 61764-9695.
- What is Wal-Mart Stores, Inc. Dba Wal-Mart's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores, Inc. Dba Wal-Mart is (815) 842-2439.
- Who is the authorized official for Wal-Mart Stores, Inc. Dba Wal-Mart?
- The authorized official listed on Wal-Mart Stores, Inc. Dba Wal-Mart's NPPES record is David Simmons, Npi Associate. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores, Inc. Dba Wal-Mart's NPI active?
- Yes — Wal-Mart Stores, Inc. Dba Wal-Mart's NPI (1225168750) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.