WALMART STORES, INC. (NPI# 1194801399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194801399 |
| Entity Type | Organization |
| Organization Name | WALMART STORES, INC. |
| Other Organization Name | VISION CENTER 30-1815 |
| Practice Address |
3680 W Shaw Ave Fresno CA 93711-3231 |
| Mailing Address |
702 Sw 8th Street Bentonville AZ 72716-0235 |
| Practice Telephone | 5592778191 |
| Enumeration Date | 2006-10-31 |
| 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 30-1815 | 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 |
| 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 |
| 1851472906 | Walmart Stores, Inc. | Technician/Technologist | 5500 Grossmont Center Dr, La Mesa, CA 91942-3016 | 2006-10-17 |
| Street Address |
3680 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794110 | Virgil Baldivino Cubacha | Pharmacist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2018-06-20 |
| 1215464284 | Ivan Ng | Pharmacist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2017-05-21 |
| 1821447590 | Dung Kim Le | Pharmacist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2016-06-03 |
| 1962758748 | Hong Gia Luu | Optometrist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2012-07-30 |
| 1356521546 | Firstsight Vision Services, Inc. | Optometrist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2007-11-06 |
| 1194845206 | Inderjit K Dhaliwal | Optometrist | 3680 W Shaw Ave, Fresno, CA 93711-3231 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689881971 | Harry H Kochounian | Technician/Technologist | 4710 N Cedar Ave # 101, Fresno, CA 93726-1086 | 2007-05-17 |
| 1689750879 | Sam's Club Optical | Technician/Technologist | 7663 N Blackstone Ave, Fresno, CA 93720-4306 | 2006-10-31 |
| 1083798623 | Walmart Stores, Inc. | Technician/Technologist | 5125 E Kings Canyon Rd, Fresno, CA 93727-3937 | 2006-10-24 |
| 1275614299 | Walmart Stores, Inc. | Technician/Technologist | 7065 N Ingram Ave, Fresno, CA 93650-1083 | 2006-10-17 |
| 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.