WAL-MART VISION CENTER 30-5848
NPI 1649510082
Eyewear Supplier in Elk Grove, CA

Active since February 21, 2013
10075 BRUCEVILLE RD, ELK GROVE, CA 95757(916) 585-7809(916) 585-7602 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wal-mart Vision Center 30-5848 NPPES

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

WAL-MART VISION CENTER 30-5848 (NPI 1649510082) is a healthcare organization registered as an eyewear supplier in Elk Grove, California and active in the NPI registry since February 2013. The organization lists Samantha Davenport, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1649510082
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES INC
Location Address10075 BRUCEVILLE RDElk Grove, CA 95757-9501
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1240 · Fax (479) 277-4331
Fax(916) 585-7602
Organization SubpartNo
Authorized OfficialSamantha DavenportEnrollment Specialist · (479) 277-1240
Enumeration DateFebruary 21, 2013
NPI 1649510082 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
10075 BRUCEVILLE RD, Elk Grove, CA 95757

Other Names 1

Doing Business AsWal-mart Vision Center 30-5848

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

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.

Pharmacist
10075 BRUCEVILLE RD
ELK GROVE, CA 95757
Pharmacy (Community/Retail Pharmacy)
10075 BRUCEVILLE RD
ELK GROVE, CA 95757
Optometrist
10075 BRUCEVILLE RD
ELK GROVE, CA 95757

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 Inc's NPI number?

The NPI number for Wal-Mart Stores Inc is 1649510082. It was assigned to this organization in the NPPES registry on February 21, 2013. The provider is doing business as Wal-Mart Vision Center 30-5848.

Where is Wal-Mart Stores Inc located?

Wal-Mart Stores Inc is located at 10075 Bruceville Rd, Elk Grove, CA 95757. The listed phone number is (916) 585-7809.

What is Wal-Mart Stores Inc's specialty?

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

What insurance does Wal-Mart Stores Inc accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart 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 Wal-Mart Stores Inc was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.