Active NPI
Wal-Mart Stores, Inc
Doing business as Vision Center 30-5070
- Eyewear Supplier
- Las Vegas, NV
National Provider Identifier
1467533406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WAL-MART STORES, INC
- Doing business as
- Vision Center 30-5070
- Practice address
- 5200 S Fort Apache Rd
Las Vegas, NV 89148-1722 - Phone
- (702) 367-4001
- NPI assigned
- Oct 18, 2006
- Last updated
- Sep 11, 2025
- 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
- Nicole D Gentile
- 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
5200 S Fort Apache Rd
Las Vegas, NV 89148-1722
Mailing address
702 SW. 8TH St.
Bentonville, AR 72716
Other names 1
- Vision Center 30-5070
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1467533406",
"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": "72716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 S FORT APACHE RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481722",
"telephone_number": "702-367-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"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 30-5070",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Robin Wakish
- Esther Jean Wakley, L.C.S.W.
- Wal Mart Stores, Inc. (Walmart Vision Center 30-2483)
- Wal-Mart Stores Inc (Wal-Mart Pharmacy 10-2837)
- Wal-Mart Stores, Inc (Vision Center 30-1838)
- Wal-Mart Stores, Inc (Vision Center 30-1584)
- Wal-Mart Stores, Inc (Vision Center 30-3473)
- Wal-Mart Stores, Inc (Vision Center 30-2593)
- Wal-Mart Stores, Inc (Vision Center 30-1560)
- Wal-Mart Stores, Inc (Vision Center 30-2884)
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.