WALMART STORES, INC. (NPI# 1770671240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770671240 |
| Entity Type | Organization |
| Organization Name | WALMART STORES, INC. |
| Other Organization Name | VISION CENTER 30-1554 |
| Practice Address |
3223 E Hammer Ln Stockton CA 95212-2815 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 2094732796 |
| 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 30-1554 | 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 |
3223 E HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782906 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2006-07-16 |
| 1669831707 | Pavoua Xiong | Pharmacist | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2016-02-17 |
| 1851709976 | Luat Do | Pharmacist | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2014-08-01 |
| 1619385093 | Kwame Agyepong | Pharmacist | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2014-07-29 |
| 1710395462 | Chelsey Ankrah | Pharmacist | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2014-07-25 |
| 1346420528 | Firstsight Vision Services, Inc. | Optometrist | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2007-11-06 |
| 1811012727 | Stig Eric Stensland | Optometrist | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205339199 | National Vision, Inc. | Technician/Technologist | 10734 Trinity Pkwy Ste C, Stockton, CA 95219-7232 | 2018-03-16 |
| 1366648354 | Lynda Diane Winter | Technician/Technologist | 622 Lincoln Ctr, Stockton, CA 95207-2640 | 2007-06-26 |
| 1447472162 | Ronald Francis Lewis | Technician/Technologist | 2301 W Alpine Ave, Stockton, CA 95204-2701 | 2007-05-03 |
| 1538381587 | Jon Kenneth Meyers | Technician/Technologist | 858 W Benjamin Holt Dr, Stockton, CA 95207-3652 | 2007-05-02 |
| 1871854000 | Wal-mart Stores Inc | Technician/Technologist | 10355 Trinity Pkwy, Stockton, CA 95219-7243 | 2012-06-05 |
| 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 | ||||
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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.