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WALMART, INC.
NPI 1932976933
Technician/Technologist - Optician in San Leandro, CA

Active since December 08, 2023CLIA 05D2341074 · Waiver
1919 DAVIS ST, SAN LEANDRO, CA 94577(510) 430-9903(510) 430-9340 Get Directions Write a Review

NPPES record last updated: October 2, 2025. 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 1932976933), doing business as Walmart Pharmacy 10-3164, is a healthcare organization registered as an optician in San Leandro, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1932976933
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWALMART, INC.
Location Address1919 DAVIS STSan Leandro, CA 94577-1208
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(510) 430-9903
Fax(510) 430-9340
Organization SubpartNo
Authorized OfficialKimberly CanonicSr Director · (479) 371-1168
Enumeration DateDecember 8, 2023
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1932976933 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
1919 DAVIS ST, San Leandro, CA 94577
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 05D2341074

Walmart Pharmacy #10-2648 · San Leandro, CA
Active · expires Mar 25, 2028
CLIA Number05D2341074
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorPham Hoang
Laboratory Phone(510) 569-0200
Laboratory LocationWalmart Pharmacy #10-26481919 Davis St, San Leandro, CA 94577
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 11

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

KAI FONG
Pharmacist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 569-9000
TRANG NGUYEN PHARMD
Pharmacist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 569-9000
DR. TRINH NGOC HUYNH OD
Optometrist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 430-9903
NANCY TABUCHI
Pharmacist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 569-9000
MRS. LAN N DANG
Pharmacist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 569-9000
DR. SAMY BENSBAA OD
Optometrist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 430-9908
HUYNH FAMILY PROFESSIONAL OPTOMETRY CORP.
Optometrist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 430-9903
DR. HENRI DONG-HA KIM O.D.
Optometrist
1919 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 430-9908

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 1932976933. 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 1919 Davis St, San Leandro, CA 94577. The listed phone number is (510) 430-9903.

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 05D2341074) is associated with this NPI, valid through March 25, 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 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.