NPI age
15 years
Enumerated 2011-02-02
● Active Type 2 · Organization
Subpart
Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is 1 of 526 eyewear supplier organizations in Georgia.
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
2011-02-02
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 · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
4949 Bill Gardner Pkwy
Locust Grove, GA 30248
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Dianna Painter
Enrollment Specialist
📞 4792771238
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Andre Harvey, PHARM.D Pharmacist NPI 1003323957
- Germaine Patterson Pharmacist NPI 1629679477
- Katrina Pringle, LDO Technician/Technologist NPI 1295556991
Specialties
-
Eyewear Supplier PrimaryAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
-
Technician/TechnologistOpticians 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Vision Center 30-5709
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Wal-Mart Stores Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.