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WALMART, INC.
NPI 1114794179
Technician/Technologist - Optician in Duarte, CA

Active since December 08, 2023CLIA 05D2339721 · Waiver
1600 MOUNTAIN AVE, DUARTE, CA 91010(626) 359-2998(626) 357-3179 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart, Inc. NPPES

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

WALMART, INC. (NPI 1114794179), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in Duarte, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Michele Garvey, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1114794179
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWALMART, INC.
Location Address1600 MOUNTAIN AVEDuarte, CA 91010-2757
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331
Phone(626) 359-2998
Fax(626) 357-3179
Organization SubpartNo
Authorized OfficialMichele GarveyDirector Of Health Care Contracting · (479) 277-2611
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1114794179 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
1600 MOUNTAIN AVE, Duarte, CA 91010
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 05D2339721

Walmart Pharmacy #10-2401 · Duarte, CA
Active · expires Mar 4, 2028
CLIA Number05D2339721
Laboratory TypePharmacy
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorZhang Zhou
Laboratory Phone(626) 359-7708
Laboratory LocationWalmart Pharmacy #10-24011600 Mountain Ave, Duarte, CA 91010
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 8

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

FIRSTSIGHTVISION SERVICES, INC.
Optometrist
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-1648
DR. JOANNA ESTHER ELLIOT PHARMD
Pharmacist
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-3938
KIMBERLY SAN
Pharmacist
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-3938
JUSTIN ALEXANDER TAM PHARMD
Pharmacist
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-3938
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-3938
DR. KANTHA CHHUON, O.D., PROFESSIONAL OPTOMETRY CORPORATION
Optometrist
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-1648
ZHOU YUN ZHANG PHARAMCIST
Pharmacist
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-3938
NATIONAL VISION, INC.
Optometrist
1600 MOUNTAIN AVE
DUARTE, CA 91010
Los Angeles County (626) 359-2998

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 1114794179. It was assigned to this organization in the NPPES registry on December 8, 2023. The provider is doing business as Walmart pharmacy 10-3164.

Where is Walmart, Inc. located?

Walmart, Inc. is located at 1600 Mountain Ave, Duarte, CA 91010. The listed phone number is (626) 359-2998.

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 05D2339721) is associated with this NPI, valid through March 4, 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 8, 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.