P Praxis·MD
● Active Type 2 · Organization Subpart

Wal-Mart Stores East Lp

Eyewear Supplier·Jasper, GA· NPI 1619282803 · Enumerated 2010 · 15 years on NPI
Wal-Mart Stores East Lp is 1 of 526 eyewear supplier organizations in Georgia.
NPI age
15 years
Enumerated 2010-08-11
Primary specialty
Eyewear Supplier
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Painter
Enrollment Specialist
Last NPPES update
2010-08-11
Source: monthly bulk 2026-05

How this organization compares

Across 526 active eyewear supplier providers in Georgia.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1100 Old Philadelphia Rd
Jasper, GA 30143
📞 7063015696
Mailing address
702 Sw 8th St.
Bentonville, AR 727160445

Authorized official

Dianna Painter
Enrollment Specialist
📞 4792771238

Individual providers at this organization

6 individual providers on file at this primary practice address.

Specialties

  • Eyewear Supplier Primary
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    taxonomy 332H00000X
  • Technician/Technologist
    Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
    taxonomy 156FX1800X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Vision Center 30-5786
    Type code 3 recorded 2010-08-11

Practice context

Multi-provider organization. 6 individual providers on file at this primary address.

Subpart of Wal-Mart Stores Inc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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