OrganizationActive
Wal-Mart Stores Inc
NPI 1508103078 · Eyewear Supplier · Wood River, IL
Wal-Mart Stores Inc is a Eyewear Supplier organization in Wood River, IL (NPI 1508103078).
Provider details
- NPI number
- 1508103078
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores Inc
- Organization subpart
- Yes
- Authorized official
- Amy Powers, Specialist, Plan Enrollment(479) 204-0709
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
610 Wesley Dr
Wood River, IL 62095-1894
Phone: (618) 259-1286
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Wal-Mart Vision Center 30-1071
Registry dates
- Enumerated
- 2013-01-03
- Last updated
- 2013-01-03
Frequently asked questions
- What is Wal-Mart Stores Inc's NPI number?
- Wal-Mart Stores Inc's National Provider Identifier (NPI) is 1508103078, 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 610 Wesley Dr, Wood River, IL 62095-1894.
- What is Wal-Mart Stores Inc's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores Inc is (618) 259-1286.
- Who is the authorized official for Wal-Mart Stores Inc?
- The authorized official listed on Wal-Mart Stores Inc's NPPES record is Amy Powers, 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 (1508103078) is active in the NPPES registry as of the last update on 2013-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.