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Wal-Mart Stores East, Lp

Wal-Mart Stores East, Lp is a healthcare organization registered as Optician in Ballwin, MO, holding Type 2 (organization) NPI 1114009008 since 2006. The authorized official on file is Holly Wilkinson, Health & Wellness Optical Insurance.

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NPI 1114009008
Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East, Lp
Other name <Unavail>
Practice address 201 HIGHLANDS BOULEVARD DR, Ballwin, MO, 63011
Phone 6362560697
Enumeration date 2006-10-19
Last updated in NPPES 2009-09-03

Authorized official

Name Holly Wilkinson
Title Health & Wellness Optical Insurance
Phone 4792048320

Taxonomy & classification

Taxonomy code Specialty Primary License State
332H00000X Eyewear Supplier Secondary
156FX1800X Optician Primary
Copy-ready billing details
Provider: Wal-Mart Stores East, Lp
NPI: 1114009008
Taxonomy: 156FX1800X (Optician)
Address: 201 HIGHLANDS BOULEVARD DR, Ballwin, MO, 63011

Providers at this address

NPI Name Type Specialty Location
1306863659 Wal-Mart Stores East Lp Organization Community/Retail Pharmacy Manchester, MO
1457361362 Susan Carlisle Individual Optometrist Ballwin, MO
1316272651 Amy Brunig Individual Optometrist Ballwin, MO
1063913580 Amy Bias Individual Pharmacist Manchester, MO
1255931812 Eldijana Pilipovic Individual Pharmacist Manchester, MO
1164023602 Brian Stefani Individual Pharmacist Manchester, MO

Verify this record

Cross-check NPI 1114009008 against the authoritative CMS record: view Wal-Mart Stores East, Lp on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Wal-Mart Stores East, Lp located?
The practice location on file with NPPES is in Ballwin, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-09-03.