NPI age
12 years
Enumerated 2013-06-05
● Active Type 2 · Organization
Wal-Mart Stores, Inc.
Wal-Mart Stores, Inc. is 1 of 74 eyewear supplier organizations in Idaho.
Primary specialty
Eyewear Supplier
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lauver
Specialist Plan Enrollment
Last NPPES update
2013-06-05
Source: monthly bulk 2026-05
How this organization compares
Across 74 active eyewear supplier providers in Idaho.
NPI age
12 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 43% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
795 W Overland Rd
Meridian, ID 83642
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Deb Lauver
Specialist Plan Enrollment
📞 4792048741
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Mary Gibson Pharmacist NPI 1881288462
- Lolettima Johnson, PHARM.D. Pharmacist NPI 1740730852
- Scott Johnson Pharmacist NPI 1134537566
- Marcus Michaelis, PHARMD Pharmacist NPI 1891330551
- Jason Sandy, PHARM.D. Pharmacist NPI 1376950568
- Samuel Weatherspoon Pharmacist NPI 1679974042
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.
-
Wal-Mart Vision Center 30-3093
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.