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WAL-MART STORES EAST, LP.
NPI 1205603453
Technician/Technologist - Optician in Woodland, CA

Active since December 07, 2023
1720 E MAIN ST, WOODLAND, CA 95776(530) 668-1457 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wal-mart Stores East, Lp. NPPES

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

WAL-MART STORES EAST, LP. (NPI 1205603453), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in Woodland, California and active in the NPI registry since December 2023. The organization lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1205603453
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWAL-MART STORES EAST, LP.
Location Address1720 E MAIN STWoodland, CA 95776-6223
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(530) 668-1457
Organization SubpartNo
Authorized OfficialKimberly CanonicSr Director · (479) 371-1168
Enumeration DateDecember 7, 2023
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1205603453 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
1720 E MAIN ST, Woodland, CA 95776
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3164

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)
1720 E MAIN ST
WOODLAND, CA 95776
Yolo County (530) 668-1457
NATIONAL VISION, INC.
Eyewear Supplier
1720 E MAIN ST
WOODLAND, CA 95776
Yolo County (530) 669-7071
FIRSTSIGHT VISION SERVICES, INC.
Optometrist
1720 E MAIN ST
WOODLAND, CA 95776
Yolo County (530) 669-7075
GIANG NGOC NGUYEN NGO
Pharmacist
1720 E MAIN ST
WOODLAND, CA 95776
Yolo County (530) 668-1060
MRS. LYNN LEE PHARMD
Pharmacist
1720 E MAIN ST
WOODLAND, CA 95776
Yolo County (530) 668-1457
SELENE LUM O.D.
Optometrist
1720 E MAIN ST
WOODLAND, CA 95776
Yolo County (530) 669-7075

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 Wal-Mart Stores East, LP.'s NPI number?

The NPI number for Wal-Mart Stores East, LP. is 1205603453. It was assigned to this organization in the NPPES registry on December 7, 2023. The provider is doing business as Walmart pharmacy 10-3164.

Where is Wal-Mart Stores East, LP. located?

Wal-Mart Stores East, LP. is located at 1720 E Main St, Woodland, CA 95776. The listed phone number is (530) 668-1457.

What is Wal-Mart Stores East, LP.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP. was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.