OrganizationActive
Wal-Mart Stores, Inc
NPI 1609090091 · Eyewear Supplier · Collinsville, IL
Provider details
- NPI number
- 1609090091
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Shiela Douglas, Npi Associate(479) 273-8048
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
1040 Collinsville Crossing
Collinsville, IL 62234
Phone: (618) 344-4480
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-0361
Registry dates
- Enumerated
- 2007-04-13
- 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.