WAL-MART STORES EAST, LP — NPI 1013090943 (Licensed & Credentialed Eyewear Supplier (Equipment, not the service) in SUMITON, AL)

CMS-1500 Box 24J / 33a • NPI

1013090943

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

332H00000X

Licensed & Credentialed Eyewear Supplier (Equipment, not the service)

Box 32 Service Location & ZIP+4

690 HIGHWAY 78, SUMITON, AL, 35148-3419

✓ 9-Digit EDI 837 ZIP+4 (35148-3419)

Practice Phone & Referral Fax

(205) 648-4100

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1013090943 (WAL-MART STORES EAST, LP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1013090943` (NPI-2 Organization / Facility)
Provider / Legal Name	WAL-MART STORES EAST, LP
Plain-English Specialty	Licensed & Credentialed Eyewear Supplier (Equipment, not the service) NUCC Code: `332H00000X` (Eyewear Supplier (Equipment, not the service))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	690 HIGHWAY 78, SUMITON, AL, 35148-3419
Practice Telephone / Fax	Tel: (205) 648-4100
Administrative Mailing Address	702 SW 8TH ST., BENTONVILLE, AR, 72716-0235
Enumeration & Last Sync	Enumerated: 2006-10-23 \| CMS Record Updated: 2025-09-11
Authorized Official	NICOLE GENTILE (NPI Coordinator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

690 HIGHWAY 78, SUMITON, AL, 35148-3419

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Plain-English Taxonomy & CMS Crosswalk (332H00000X)

What Does Taxonomy Code 332H00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332H00000X translates to:
"Licensed & Credentialed Eyewear Supplier (Equipment, not the service)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Eyewear Supplier (Equipment, not the service) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WAL-MART STORES EAST, LP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`156FX1800X` — Technician/Technologist, Optician Plain English: Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician	State: N/A \| License: `Verified` \| Primary: Secondary
`332H00000X` — Eyewear Supplier (Equipment, not the service) Plain English: Licensed & Credentialed Eyewear Supplier (Equipment, not the service)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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WAL-MART STORES EAST, LP (NPI #1013090943)