Active NPI
Wal-Mart Stores East, LP
- Eyewear Supplier
- Plainfield, IN
National Provider Identifier
1104909035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WAL-MART STORES EAST, LP
- Practice address
- 2372 E Main St
Plainfield, IN 46168-2733 - Phone
- (317) 839-2261
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda M. Epperson
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
2372 E Main St
Plainfield, IN 46168-2733
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Vision Center 30-0828
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Princeton, IN
- NPI 1053747071
-
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1063431047
-
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1104234772
-
- Community/Retail Pharmacy
- Carmel, IN
- NPI 1104843317
-
- Community/Retail Pharmacy
- Noblesville, IN
- NPI 1104843408
-
- Community/Retail Pharmacy
- Fort Wayne, IN
- NPI 1104843572
-
- Community/Retail Pharmacy
- Plainfield, IN
- NPI 1114944329
-
- Community/Retail Pharmacy
- Frankfort, IN
- NPI 1114944337
-
- Community/Retail Pharmacy
- Warsaw, IN
- NPI 1114944428
-
- Community/Retail Pharmacy
- Boonville, IN
- NPI 1124045349
-
- Community/Retail Pharmacy
- Greenfield, IN
- NPI 1124045430
-
- Community/Retail Pharmacy
- Greenwood, IN
- NPI 1194742569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104909035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH STREET",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2372 E MAIN ST",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682733",
"telephone_number": "317-839-2261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES EAST, LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "EPPERSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "NPI COORDINATOR",
"authorized_official_telephone_number": "316-788-5580"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Center 30-0828",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.