1. Home
  2. Directory
  3. California
  4. Tracy
  5. Eyewear Supplier
  6. NPI Profile

WALMART STORES, INC.
NPI 1386732865
Eyewear Supplier in Tracy, CA

Active since October 10, 2006
3010 W GRANT LINE RD, TRACY, CA 95304(209) 836-5786 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Walmart Stores, Inc. NPPES

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

WALMART STORES, INC. (NPI 1386732865), doing business as Vision Center 30-2025, is a healthcare organization registered as an eyewear supplier in Tracy, California and active in the NPI registry since October 2006. The organization lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1386732865
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWALMART STORES, INC.
Location Address3010 W GRANT LINE RDTracy, CA 95304-9402
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0235
Phone(209) 836-5786
Organization SubpartNo
Authorized OfficialKimberly CanonicSr Director · (479) 371-1168
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1386732865 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
3010 W GRANT LINE RD, Tracy, CA 95304
Open in Google Maps ↗

Other Names 1

Doing Business AsVision Center 30-2025

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 9

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

MR. SUKHDIAL SINGH GILL RPH
Pharmacist
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-1991
FIRSTSIGHT VISION SERVICES, INC.
Optometrist
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 869-3234
MELANIE CADAVOS
Optometrist
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-5786
ABDULLAH GHAUSUDDIN NEZAMI
Pharmacist
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-1991
SEAN WEDEE
Pharmacist
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-1991
RAVIKESH RAYNEEL KUMAR RPH
Pharmacist
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-5786
TONIE IWU
Pharmacist
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-5786
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
3010 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-1991

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 Stores, Inc.'s NPI number?

The NPI number for Walmart Stores, Inc. is 1386732865. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Vision Center 30-2025.

Where is Walmart Stores, Inc. located?

Walmart Stores, Inc. is located at 3010 W Grant Line Rd, Tracy, CA 95304. The listed phone number is (209) 836-5786.

What is Walmart Stores, Inc.'s specialty?

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

What insurance does Walmart Stores, Inc. accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Walmart Stores, 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 Stores, Inc. was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.