WALMART VISION CENTER 30-2752
NPI 1265517841
Technician/Technologist - Optician in Commerce City, CO

Active since October 25, 2006CLIA 06D2128395 · Waiver
5990 DAHLIA ST, COMMERCE CITY, CO 80022(303) 287-0600 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Walmart Vision Center 30-2752 NPPES

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

WALMART VISION CENTER 30-2752 (NPI 1265517841) is a healthcare organization registered as an optician in Commerce City, Colorado and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Matthew Mcmullin, Director, as its authorized official.

NPPES Registry Identity

NPI1265517841
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWALMART INC.
Location Address5990 DAHLIA STCommerce City, CO 80022-3708
Mailing Address702 Sw 8th StBentonville, AR 72716-6209
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector · (479) 371-8711
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
NPI 1265517841 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
5990 DAHLIA ST, Commerce City, CO 80022

Other Names 1

Doing Business AsWalmart Vision Center 30-2752

Accepted Insurance

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 06D2128395

Walmart Pharmacy #10-2752 · Commerce City, CO
Active · expires Mar 28, 2027
CLIA Number06D2128395
Laboratory TypePharmacy
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorMartin A. Kisang
Laboratory Phone(479) 258-7034
Laboratory LocationWalmart Pharmacy #10-27525990 Dahlia St, Commerce City, CO 80022
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-2752 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-2752

DMEPOS supplier · Commerce City, COOperated by Walmart Inc

Does not accept Medicare assignment

Walmart Pharmacy 10-2752 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20426741
Medicare Participant SinceJanuary 1, 2019
Supplier Location5990 Dahlia StCommerce City, CO 80022
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

Optometrist
5990 DAHLIA ST
COMMERCE CITY, CO 80022
Pharmacist
5990 DAHLIA ST
COMMERCE CITY, CO 80022
Pharmacy (Community/Retail Pharmacy)
5990 DAHLIA ST
COMMERCE CITY, CO 80022
Optometrist
5990 DAHLIA ST, SUITE A
COMMERCE CITY, CO 80022
Pharmacist
5990 DAHLIA ST
COMMERCE CITY, CO 80022

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 1265517841. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Walmart Vision Center 30-2752.

Where is Walmart Inc. located?

Walmart Inc. is located at 5990 Dahlia St, Commerce City, CO 80022. The listed phone number is (303) 287-0600.

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. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-2752 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2128395) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walmart Inc. accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Walmart Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on December 12, 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.