Wal-Mart Stores, Inc. Dba Wal-Mart
NPI 1710015219 · Eyewear Supplier · Waukegan, IL
Wal-Mart Stores, Inc. Dba Wal-Mart is a Eyewear Supplier organization in Waukegan, IL (NPI 1710015219).
Provider details
- NPI number
- 1710015219
- 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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Vision Center 3891
Registry dates
- Enumerated
- 2007-02-28
- 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 1710015219, 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 3900 Fountain Square Pl, Waukegan, IL 60085-6705.
- 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 (847) 473-2193.
- 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 (1710015219) 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.