Wal-Mart Stores East, LP

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

WAL-MART STORES EAST, LP

Practice address

1460 Golf Rd
Rolling Meadows, IL 60008-4206

Phone

(847) 734-0456

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole D Gentile

Title

Npi Coordinator

Phone

(316) 788-5580

Specialties & licenses 2

Addresses

Other names 1

• Vision Center 30-2815 Doing business as

Tax ID family

Ability Network4,651 organizations share this tax ID, including this one

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376624478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST.",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 GOLF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084206",
            "telephone_number": "847-734-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART STORES EAST, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "D",
        "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 30-2815",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vetecon Mobile Health Solutions Co
• Brianna Lynn Veternik
• Marlon Viloria, PT, APRN-FPA
• W&Q Medical Services LLC
• Katherine Maureen Wagner
• Jessica Fae Wallace
• Walmart Inc.
• Ye Wang, DMD
• Christine Wanyana, APN, MSN
• Madeline Weber

• Eyewear Supplier in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Eyewear Supplier in Illinois

• 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.

Verify at the official NPI Registry.