OrganizationActive
Wal-Mart Stores East, Lp
NPI 1508970534 · Optician · Cocoa, FL
Provider details
- NPI number
- 1508970534
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tammy Boyd, Contract Coordinator(479) 277-1359
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Detailed profile(90/100 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
2700 Clearlake Rd
Cocoa, FL 32922-5716
Phone: (321) 639-1610
Street-level locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-0174
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 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.