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WALMART STORES, INC.
NPI 1568548766
Eyewear Supplier in Lodi, CA

Active since October 31, 2006
2350 W KETTLEMAN LN, LODI, CA 95242(209) 368-6696 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1568548766), doing business as Vision Center 30-1789, is a healthcare organization registered as an eyewear supplier in Lodi, California and active in the NPI registry since October 2006. The organization lists Kimberly Canonic, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1568548766
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWALMART STORES, INC.
Location Address2350 W KETTLEMAN LNLodi, CA 95242-9762
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0235
Phone(209) 368-6696
Organization SubpartNo
Authorized OfficialKimberly CanonicSr. Director · (479) 371-1168
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1568548766 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
2350 W KETTLEMAN LN, Lodi, CA 95242
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Other Names 1

Doing Business AsVision Center 30-1789

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, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

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

FIRSTSIGHT VISION SERVICES, INC.
Optometrist
2350 W KETTLEMAN LN
LODI, CA 95242
San Joaquin County (209) 368-9660
DR. RANDOLPH BELTRAN GALANG O.D.
Optometrist
2350 W KETTLEMAN LN
LODI, CA 95242
San Joaquin County (209) 368-9660
JACQUELINE ANHAR
Pharmacist
2350 W KETTLEMAN LN
LODI, CA 95242
San Joaquin County (209) 368-6658

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 1568548766. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Vision Center 30-1789.

Where is Walmart Stores, Inc. located?

Walmart Stores, Inc. is located at 2350 W Kettleman Ln, Lodi, CA 95242. The listed phone number is (209) 368-6696.

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 and Moda Health Plan, Inc. 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 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.