WALMART STORES, INC. (NPI# 1689762163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689762163 |
Entity Type | Organization |
Organization Name | WALMART STORES, INC. |
Other Organization Name | VISION CENTER 30-3494 |
Practice Address |
732 Center Dr San Marcos CA 92069-3535 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 7602338009 |
Enumeration Date | 2006-10-10 |
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 30-3494 | 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 |
732 CENTER DR |
City | SAN MARCOS |
State | CA |
Zip Code | 92069-3535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265459499 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 732 Center Dr, San Marcos, CA 92069-3535 | 2006-07-16 |
1427549633 | Christine Lucas | Pharmacist | 732 Center Dr, San Marcos, CA 92069-3535 | 2018-05-23 |
1467942466 | Janine Henson | Pharmacist | 732 Center Dr, San Marcos, CA 92069-3535 | 2018-05-15 |
1740789395 | Brendy Tam | Pharmacist | 732 Center Dr, San Marcos, CA 92069-3535 | 2018-02-09 |
1700280302 | Parisa Mojaver | Pharmacist | 732 Center Dr, San Marcos, CA 92069-3535 | 2014-10-10 |
1033399464 | Firstsight Vision Services, Inc. | Optometrist | 732 Center Dr, San Marcos, CA 92069-3535 | 2007-11-14 |
1255460283 | Robert D. Gentile | Optometrist | 732 Center Dr, San Marcos, CA 92069-3535 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
Find all providers in zip 92069 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740702141 | National Vision, Inc. | Technician/Technologist | 1180 Thorpe Ln, San Marcos, TX 78666-7106 | 2017-07-07 |
1689701088 | Sam's Club Optical | Technician/Technologist | 1350 Leah Ave., San Marcos, TX 78666 | 2007-02-27 |
1952716870 | Michael Patrick Duffy | Technician/Technologist | 121 W San Antonio St, San Marcos, TX 78666-5551 | 2014-06-30 |
1174940464 | Blue Moon Optical | Technician/Technologist | 121 W San Antonio St, San Marcos, TX 78666-5551 | 2014-03-25 |
1538459581 | Vision Center | Technician/Technologist | 150 Valpreda Rd Ste 106, San Marcos, CA 92069-2945 | 2011-04-12 |
1578654539 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1015 Highway 80, San Marcos, TX 78666-8111 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
Find all providers with the same taxonomy |
City | SAN MARCOS |
Zip Code | 92069 |
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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.