WAL-MART STORES, INC (NPI# 1194142273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194142273 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC |
| Other Organization Name | WAL-MART VISION CENTER 30-4392 |
| Practice Address |
12234 Palmdale Rd Victorville CA 92301 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7609629316 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-31 |
| Authorized Official Name | LAURA LEVIN (DIRECTOR, HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-4392 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190510 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-31 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1093055147 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 | 2013-02-27 |
| 1639350564 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 3031 1st St S, Willmar, MN 56201-4240 | 2007-11-20 |
| 1326229253 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 1205 S Route 31, Crystal Lake, IL 60014 | 2007-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
12234 PALMDALE RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306132063 | Hieu Doan | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2011-06-21 |
| 1720564958 | Jeannie Situ, O.d., Inc. | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-07-11 |
| 1528558269 | Jeannie Situ | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-05-17 |
| 1477042828 | Enrico John Lucchesi | Pharmacist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-05-01 |
| 1326549668 | Eunice S Cho | Pharmacist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2018-02-22 |
| 1033663844 | Farzad Kahnamelli | Pharmacist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2016-08-09 |
| 1881019156 | Walmart Inc. | Pharmacy | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2014-02-24 |
| 1710265046 | Hieu Doan, O.d., Inc. | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342609 | Brittney's Non Emergency Services Transportation | Non-emergency Medical Transport (VAN) | 15120 Christopher St, Adelanto, CA 92301 | 2017-08-16 |
| 1285870469 | County of San Bernardino | Public Health or Welfare | 11336 Bartlett Ave #11, Adelanto, CA 92301 | 2008-12-18 |
| 1346323482 | Longs Drug Stores California, LLC | Durable Medical Equipment & Medical Supplies | 12058 Palmdale Rd, Adelanto, CA 92301 | 2006-10-23 |
| 1427435148 | Kay Payton | Driver | 17960 Adelanto Rd, Adelanto, CA 92301-1708 | 2015-05-01 |
| 1295112928 | Emmanuel Unique Outreach Partners | Non-emergency Medical Transport (VAN) | 17960 Adelanto Rd, Adelanto, CA 92301-1708 | 2015-05-01 |
| 1649212770 | John D Zipperer Jr. | Internal Medicine | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2006-06-12 |
| 1336646397 | Tri-state Community Healthcare Center | Clinic/Center | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2018-04-06 |
| 1508379017 | Tri-state Community Healthcare Center | Clinic/Center | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2017-11-07 |
| 1235166810 | Yasmin Curameng Robles-gray | Nurse Practitioner | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2006-06-27 |
| 1568512176 | Adelanto Esd | Local Education Agency (LEA) | 11824 Air Expy, Adelanto, CA 92301-1730 | 2007-01-12 |
| Find all providers in zip 92301 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347626 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2015-01-26 |
| 1629359757 | Vision Centre of Victor Valley Inc | Eyewear Supplier (Equipment, not the service) | 14400 Bear Valley Road, Suite 204, Victorville, CA 92392-5406 | 2011-09-02 |
| 1053466805 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14400 Bear Valley Rd, Mall of Victor Valley Ste #357, Victorville, CA 92392-5470 | 2007-01-24 |
| 1336297928 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 14420 Bear Valley Rd, Mall of Victor Valley, Victorville, CA 92392-5404 | 2007-01-08 |
| 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 | ||||
| City | VICTORVILLE |
| Zip Code | 92301 |
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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.