WAL-MART STORES INC


Address: 13401 Main St, Hesperia, CA 92345
Phone: 7609486386

WAL-MART STORES INC (NPI# 1235487943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235487943
Entity Type Organization
Organization Name WAL-MART STORES INC
Other Organization Name WAL-MART VISION CENTER 30-4340
Practice Address 13401 Main St
Hesperia
CA 92345
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 7609486386
Enumeration Date 2012-08-28
Last Update Date 2012-08-30
Authorized Official Name DIANNA PAINTER (ENROLLMENT SPECIALIST)
Authorized Official Telephone 4792771238
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider/Organization Names

Other Name Type Code
Wal-Mart Vision Center 30-4340 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871980219 Wal-mart Stores Inc Technician/Technologist 4425 Venetucci Blvd, Fountain, CO 80906 2015-04-23
1932590999 Wal-mart Stores Inc Durable Medical Equipment & Medical Supplies 605 Orchard Dr, Hillsboro, KS 67063-3502 2015-02-12
1538558994 Wal-mart Stores Inc Technician/Technologist 3460 W Chandler Blvd, Chandler, AZ 85226-5065 2015-01-22
1861897134 Wal-mart Stores Inc Durable Medical Equipment & Medical Supplies 1105 E 15th St, Ellsworth, KS 67439-8548 2014-10-29
1316342686 Wal-mart Stores Inc Durable Medical Equipment & Medical Supplies 120 W Rosewood St, Rose Hill, KS 67133-9301 2014-10-29
1578967212 Wal-mart Stores Inc Pharmacy 1531 E Highway 64, Coal Hill, AR 72832-8704 2014-10-09
1568865368 Wal-mart Stores Inc Durable Medical Equipment & Medical Supplies 720 N Hwy 71, Mansfield, AR 72940 2014-10-07
1497158349 Wal-mart Stores Inc Durable Medical Equipment & Medical Supplies 900 E Ross St, Clearwater, KS 67026-7849 2014-10-07
1952704892 Wal-mart Stores Inc Pharmacy 154 E Roller Ave, Decatur, AR 72722-9446 2014-10-07
1396148243 Wal-mart Stores Inc Durable Medical Equipment & Medical Supplies 505 Housatonic St, Burlington, KS 66839-1712 2014-10-07

Office Location

Street Address 13401 MAIN ST
City HESPERIA
State CA
Zip Code 92345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578818209 Walmart Inc. Durable Medical Equipment & Medical Supplies 13401 Main St, Hesperia, CA 92345-9123 2012-07-18
1184136475 Michelle Nguyen Tran Pharmacist 13401 Main St, Hesperia, CA 92345 2017-10-26
1922417856 Carrie Michelson Pharmacist 13401 Main St, Hesperia, CA 92345-9123 2014-08-05
1528471901 Sara Kim Optometrist 13401 Main St, Hesperia, CA 92345-9123 2014-06-03
1447680830 Minh Trinh Pharmacist 13401 Main St, Pharmacy, Hesperia, CA 92345-9123 2013-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649881467 Leslie Guzman Behavioral Analyst 6700 Newhall Ave, Hesperia, CA 92345 2020-08-14
1134769896 Nu Wave Medical Group Inc Family Medicine 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 2020-01-10
1760901383 Lindsey Kathleen Dunnagan Counselor 16501 Walnut Street, Suite 12, Hesperia, CA 92345 2017-09-14
1356869374 Deborah Irene Freeman Nurse Practitioner 15398 Main Street Suite A, Hesperia, CA 92345 2017-08-30
1902260151 Serge Bronstein Counselor 16808 Main St., D-154, Hesperia, CA 92345 2016-04-13
1366815805 Caremore Health Plan Nurse Practitioner 17085 Main Street, Hesperia, CA 92345 2015-11-05
1174928402 Jennifer Cathrin Bayle Counselor 17130 Sequoia St, Suite 106, Hesperia, CA 92345 2014-10-29
1447654256 Diana Grace Chilstrom Marriage & Family Therapist 11776 Mariposa Road, Hesperia, CA 92345 2014-10-22
1639597545 Adrianna Ebony Williams Physical Therapy Assistant 8939 11th Ave, Hesperia, CA 92345 2014-03-29
1477974426 Aja Stoll Case Manager/Care Coordinator 9655 Ninth Ave, Hesperia, CA 92345 2013-12-18
Find all providers in zip 92345

Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417108507 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 12795 Main St, Hesperia, CA 92345-9110 2008-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902488 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 2020-11-02
1700485562 Vision Faire Optometry, Inc. A Professional Optometric Corporation Eyewear Supplier (Equipment, not the service) 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 2020-10-22
1154929859 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 5500 W Sunset Blvd, Los Angeles, CA 90028 2020-10-14
1295333029 Tiger & Lion Inc Eyewear Supplier (Equipment, not the service) 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 2020-10-14
1245866565 Joshua Adolfo Velasquez Eyewear Supplier (Equipment, not the service) 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 2020-03-18
1952948424 Luvc LLC Eyewear Supplier (Equipment, not the service) 2223 Carlton Ave, Pomona, CA 91768-1015 2019-12-04
1568011377 Jand. Inc. Eyewear Supplier (Equipment, not the service) 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 2019-09-05
1184270746 Nueyes Technologies Inc Eyewear Supplier (Equipment, not the service) 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 2019-08-09
1881248102 Jand. Inc. Eyewear Supplier (Equipment, not the service) 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 2019-07-25
1730732363 Jand. Inc. Eyewear Supplier (Equipment, not the service) 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 2019-07-23
Find all providers with the same taxonomy

Competitor

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City HESPERIA
Zip Code 92345

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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