WALMART STORES, INC. (NPI# 1346321361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346321361 |
| Entity Type | Organization |
| Organization Name | WALMART STORES, INC. |
| Other Organization Name | VISION CENTER 30-5338 |
| Practice Address |
4840 Shawline St San Diego CA 92111-1400 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8582682885 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (NPI COORDINATOR) |
| Authorized Official Telephone | 3167885580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-5338 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720212632 | Walmart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 1551 Washington St. N, Twin Falls, ID 83301 | 2009-05-06 |
| 1225234461 | Walmart Stores, Inc. | Technician/Technologist | 1060 S Watson Rd, Buckeye, AZ 85326-3371 | 2007-06-25 |
| 1194801399 | Walmart Stores, Inc. | Technician/Technologist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2006-10-31 |
| 1568548766 | Walmart Stores, Inc. | Technician/Technologist | 2350 W Kettleman Ln, Lodi, CA 95242-4125 | 2006-10-31 |
| 1710061932 | Walmart Stores, Inc. | Technician/Technologist | 1400 Lead Hill Blvd, Roseville, CA 95661-2949 | 2006-10-24 |
| 1730261637 | Walmart Stores, Inc. | Technician/Technologist | 2560 N Perris Blvd, Perris, CA 92571-3249 | 2006-10-19 |
| 1205917127 | Walmart Stores, Inc. | Technician/Technologist | 5000 Rhonda Road, Anderson, CA 96007 | 2006-10-18 |
| 1922189067 | Walmart Stores, Inc. | Technician/Technologist | 32225 Highway 79 S, Temecula, CA 92592 | 2006-10-17 |
| 1982785036 | Walmart Stores, Inc. | Technician/Technologist | 1100 N Estrella Pkwy, Goodyear, AZ 85338-2808 | 2006-10-17 |
| 1518048651 | Walmart Stores, Inc. | Technician/Technologist | 2663 Canyon Springs Pkwy, Riverside, CA 92507-0911 | 2006-10-17 |
| Street Address |
4840 SHAWLINE ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267572 | Walmart Inc. | Pharmacy | 4840 Shawline St, San Diego, CA 92111-1400 | 2006-07-16 |
| 1003399304 | Hoang Minh Ho, O.d, Inc | Optometrist | 4840 Shawline St, San Diego, CA 92111-1400 | 2018-09-12 |
| 1245730332 | Sami Danesh | Pharmacist | 4840 Shawline St, San Diego, CA 92111-1400 | 2018-02-15 |
| 1770083149 | Tiffany T Cao | Pharmacist | 4840 Shawline St, San Diego, CA 92111-1400 | 2018-02-12 |
| 1396153029 | Howard Tran | Pharmacist | 4840 Shawline St, San Diego, CA 92111-1400 | 2014-07-25 |
| 1326323627 | Thu Nguyen | Optometrist | 4840 Shawline St, San Diego, CA 92111-1400 | 2011-10-18 |
| 1376724740 | Firstsight Vision Services, Inc. | Optometrist | 4840 Shawline St, San Diego, CA 92111-1400 | 2007-11-14 |
| 1275684847 | Hoang Minh Ho | Optometrist | 4840 Shawline St, San Diego, CA 92111-1400 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871968073 | National Vision, Inc. | Technician/Technologist | 3952 Clairemont Mesa Blvd Ste F, San Diego, CA 92117-2777 | 2015-12-14 |
| 1487076584 | Jeff Oppido | Technician/Technologist | 3531 Florida St Apt 1, San Diego, CA 92104-8206 | 2014-01-09 |
| 1700147808 | David T Stewart | Technician/Technologist | 817 W Harbor Drvie, Suite E, San Diego, CA 92101 | 2012-06-05 |
| 1780972158 | Slawomir Zmijewski | Technician/Technologist | 1772 Garnet Ave Ste E, San Diego, CA 92109-3373 | 2011-07-19 |
| 1467665356 | Lisa Steinhoff | Technician/Technologist | 420 Thorn St, San Diego, CA 92103-5708 | 2007-05-07 |
| 1043438666 | Mark David Handmacher | Technician/Technologist | 325 W. Washington St., Insight Optical Center, San Diego, CA 92103 | 2007-04-20 |
| 1093169476 | National Vision, Inc. | Technician/Technologist | 3625 Midway Dr, Suite P, San Diego, CA 92110-5253 | 2016-04-21 |
| 1558575605 | Sheryl A Thompson | Technician/Technologist | 420 Thorn St, San Diego, CA 92103-5708 | 2007-05-09 |
| 1104039544 | Hillcrest Optical Inc. | Technician/Technologist | 420 Thorn St, San Diego, CA 92103-5708 | 2007-05-08 |
| 1265525182 | Sam's Club Optical | Technician/Technologist | 6336 College Grove Way, San Diego, CA 92115 | 2006-10-02 |
| Find all providers in SAN DIEGO | ||||
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| 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.