WALMART, INC.
NPI 1114794229
Technician/Technologist - Optician in City Of Industry, CA
About Walmart, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALMART, INC. (NPI 1114794229), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in City Of Industry, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Kimberly Canonic, Sr Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Names 1
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 05D2339677
Walmart Pharmacy #10-2251 · City Of Industry, CAOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1114794229. 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 17150 Gale Ave, City Of Industry, CA 91745. The listed phone number is (626) 913-5055.
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 05D2339677) 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 October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
