WALMART STORES, INC. (NPI# 1972691426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972691426 |
| Entity Type | Organization |
| Organization Name | WALMART STORES, INC. |
| Other Organization Name | VISION CENTER 30-5096 |
| Practice Address |
34500 Monterey Ave Palm Desert CA 92211-2089 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 7603284375 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERESON (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 30-5096 | 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 |
34500 MONTEREY AVE |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447277686 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 34500 Monterey Ave, Palm Desert, CA 92211-2089 | 2006-07-16 |
| 1306353461 | Jay L Astor | Pharmacist | 34500 Monterey Ave, Walmart Store 5096 Attn: Pharmacy, Palm Desert, CA 92211-2089 | 2018-01-10 |
| 1225580574 | Youhana Youssef | Pharmacist | 34500 Monterey Ave, Palm Desert, CA 92211-2089 | 2016-11-02 |
| 1447391693 | Daniel K Eng | Optometrist | 34500 Monterey Ave, Palm Desert, CA 92211-2089 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477677300 | Elizabeth Baker | Technician/Technologist | 73885 Highway 111 Ste 9, Palm Desert, CA 92260-4027 | 2007-03-17 |
| 1962501502 | Sam's Club Optical | Technician/Technologist | 34220 Monterey Avenue, Palm Desert, CA 92260 | 2006-09-21 |
| 1346558012 | Steven Riley Ballard | Technician/Technologist | 73885 Highway 111, Suite 9, Palm Desert, CA 92260-4027 | 2010-09-15 |
| 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 | PALM DESERT |
| Zip Code | 92211 |
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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.