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WALMART, INC.
NPI 1023885431
Technician/Technologist - Optician in La Quinta, CA

Active since December 06, 2023CLIA 05D2341002 · Waiver
79295 HIGHWAY 111, LA QUINTA, CA 92253(760) 564-4898(760) 564-8894 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Walmart, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART, INC. (NPI 1023885431), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in La Quinta, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Michele Garvey, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1023885431
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWALMART, INC.
Location Address79295 HIGHWAY 111La Quinta, CA 92253-2060
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331
Phone(760) 564-4898
Fax(760) 564-8894
Organization SubpartNo
Authorized OfficialMichele GarveyDirector Of Health Care Contracting · (479) 277-2611
Enumeration DateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1023885431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedEyewear SupplierTaxonomy 332H00000X
79295 HIGHWAY 111, La Quinta, CA 92253
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-3164

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2341002

Walmart Pharmacy #10-1805 · La Quinta, CA
Active · expires Mar 25, 2028
CLIA Number05D2341002
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorBotros Medhat
Laboratory Phone(760) 564-3313
Laboratory LocationWalmart Pharmacy #10-180579295 Hwy 111, La Quinta, CA 92253
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
79295 HIGHWAY 111
LA QUINTA, CA 92253
Riverside County (760) 564-5125
MISS KIMBERLY NGUYEN
Pharmacist
79295 HIGHWAY 111
LA QUINTA, CA 92253
Riverside County (760) 564-5125
DR. BEHNAM RADI PHARMD
Pharmacist
79295 HIGHWAY 111
LA QUINTA, CA 92253
Riverside County (760) 564-5125
FIRSTSIGHT VISION SERVICES, INC
Optometrist
79295 HIGHWAY 111
LA QUINTA, CA 92253
Riverside County (760) 564-1639
DR. JOHN JULIAN LIS O.D.
Optometrist
79295 HIGHWAY 111
LA QUINTA, CA 92253
Riverside County (760) 564-1639
NATIONAL VISION, INC.
Eyewear Supplier
79295 HIGHWAY 111
LA QUINTA, CA 92253
Riverside County (760) 564-4898

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walmart, Inc.'s NPI number?

The NPI number for Walmart, Inc. is 1023885431. It was assigned to this organization in the NPPES registry on December 6, 2023. The provider is doing business as Walmart pharmacy 10-3164.

Where is Walmart, Inc. located?

Walmart, Inc. is located at 79295 Highway 111, La Quinta, CA 92253. The listed phone number is (760) 564-4898.

What is Walmart, Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Does Walmart, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2341002) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walmart, Inc. was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.