Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores Inc

Organization Optician · NPI 1649510082

Wal-Mart Stores Inc is an Optician in Elk Grove, California. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10075 Bruceville Rd
Elk Grove, CA 95757-9501
Phone: (916) 585-7809
Fax: (916) 585-7602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1649510082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Davenport — Enrollment Specialist · (479) 277-1240
Other names Wal-Mart Vision Center 30-5848
NPI enumeratedFebruary 21, 2013
Last updated in NPPESFebruary 21, 2013
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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