WAL-MART VISION CENTER 30-4171
NPI 1114355393
Eyewear Supplier in Garden Grove, CA

Q: What is Wal-Mart Stores, Inc's NPI number?

The NPI number for Wal-Mart Stores, Inc is 1114355393. It was assigned to this organization in the NPPES registry on October 24, 2013. The provider is doing business as Wal-Mart Vision Center 30-4171.

Q: What is Wal-Mart Stores, Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since October 24, 2013

11822 GILBERT ST, GARDEN GROVE, CA 92841(714) 591-1304(714) 590-1206 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wal-mart Vision Center 30-4171 NPPES

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

WAL-MART VISION CENTER 30-4171 (NPI 1114355393) is a healthcare organization registered as an eyewear supplier in Garden Grove, California and active in the NPI registry since October 2013. The organization lists Deb Lauver, Specialist Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1114355393

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART STORES, INC

Location Address11822 GILBERT STGarden Grove, CA 92841-2720

Mailing Address702 Sw 8th StBentonville, AR 72716-0445

Phone(714) 591-1304

Fax(714) 590-1206

Organization SubpartNo

Authorized OfficialDeb LauverSpecialist Plan Enrollment · (479) 273-4885

Enumeration DateOctober 24, 2013

Last NPPES UpdateMay 19, 2014

✔ NPI 1114355393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X

11822 GILBERT ST, Garden Grove, CA 92841

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Other Names 1

Doing Business AsWal-mart Vision Center 30-4171

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Other Providers at the Same Location NPPES 7

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

SALLY OEUNG, OD INC.

Optometrist