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WALMART, INC.
NPI 1417724535
Technician/Technologist - Optician in Mountain View, CA

Active since December 08, 2023CLIA 05D2340710 · Waiver
600 SHOWERS DR, MOUNTAIN VIEW, CA 94040(650) 917-9953(650) 917-1034 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 1417724535), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in Mountain View, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Michele Garvey, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1417724535
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWALMART, INC.
Location Address600 SHOWERS DRMountain View, CA 94040-1434
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331
Phone(650) 917-9953
Fax(650) 917-1034
Organization SubpartNo
Authorized OfficialMichele GarveyDirector Of Health Care Contracting · (479) 277-2611
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1417724535 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
600 SHOWERS DR, Mountain View, CA 94040
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 05D2340710

Walmart Pharmacy #10-2280 · Mountain View, CA
Active · expires Mar 19, 2028
CLIA Number05D2340710
Laboratory TypePharmacy
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorMark Anthony Ruiz
Laboratory Phone(650) 917-0796
Laboratory LocationWalmart Pharmacy #10-2280600 Showers Dr, Mountain View, CA 94040
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 5

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

NATIONAL VISION, INC.
Eyewear Supplier
600 SHOWERS DR
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 917-9953
CATHERINE PHAN
Pharmacist
600 SHOWERS DR
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 917-0878
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
600 SHOWERS DR
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 917-0878
DEXTER MACARANAS
Pharmacist
600 SHOWERS DR
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 917-0878
FIRSTSIGHT VISION SERVICES, INC.
Optometrist
600 SHOWERS DR
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 917-0387

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 1417724535. 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 600 Showers Dr, Mountain View, CA 94040. The listed phone number is (650) 917-9953.

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 05D2340710) is associated with this NPI, valid through March 19, 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.