OrganizationActive
Wal-Mart Stores East, Lp
NPI 1407221104 · Eyewear Supplier · Daville, IN
Provider details
- NPI number
- 1407221104
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores, Inc
- Organization subpart
- Yes
- Authorized official
- Laura Levine, Director(479) 204-8550
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1894 Ridge Ave
Daville, IN 46122
Phone: (479) 204-8550
Fax: (479) 277-4331
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Vision Center 30-6476
Registry dates
- Enumerated
- 2015-12-07
- Last updated
- 2015-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.