Active NPI
Wal-Mart Stores, Inc.
- Eyewear Supplier
- San Bernardino, CA
National Provider Identifier
1467536003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WAL-MART STORES, INC.
- Practice address
- 4001 Hallmark Pkwy
San Bernardino, CA 92407-1876 - Phone
- (909) 880-4038
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda M. Epperson
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4001 Hallmark Pkwy
San Bernardino, CA 92407-1876
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Vision Center 30-3276
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Eyewear Supplier
- Antelope, CA
- NPI 1477656494
-
- Eyewear Supplier
- Sacramento, CA
- NPI 1467974477
-
- Eyewear Supplier
- Long Beach, CA
- NPI 1457756546
-
- Eyewear Supplier
- Rancho Cucamonga, CA
- NPI 1437239878
-
- Eyewear Supplier
- Santa Clarita, CA
- NPI 1437248325
-
- Eyewear Supplier
- Palmdale, CA
- NPI 1437248390
-
- Eyewear Supplier
- Pico Rivera, CA
- NPI 1447349410
-
- Eyewear Supplier
- Ventura, CA
- NPI 1457781049
-
- Optician
- San Diego, CA
- NPI 1487570511
-
- Community/Retail Pharmacy
- Palm Desert, CA
- NPI 1447277686
-
- Community/Retail Pharmacy
- Compton, CA
- NPI 1457727513
-
- Community/Retail Pharmacy
- Sacramento, CA
- NPI 1467470252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1467536003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH STREET",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 HALLMARK PKWY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924071876",
"telephone_number": "909-880-4038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "EPPERSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "NPI COORDINATOR",
"authorized_official_telephone_number": "316-788-5580"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Center 30-3276",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.