Wal Mart Stores, Inc. Dba Wal-Mart
NPI 1417040262 · Eyewear Supplier · Lake Elsinore, CA
Wal Mart Stores, Inc. Dba Wal-Mart is a Eyewear Supplier organization in Lake Elsinore, CA (NPI 1417040262).
Provider details
- NPI number
- 1417040262
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Linda Epperson, Npi Coordinator(316) 788-5580
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vision Center 30-2077
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2025-09-11
Frequently asked questions
- What is Wal Mart Stores, Inc. Dba Wal-Mart's NPI number?
- Wal Mart Stores, Inc. Dba Wal-Mart's National Provider Identifier (NPI) is 1417040262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal Mart Stores, Inc. Dba Wal-Mart?
- Wal Mart Stores, Inc. Dba Wal-Mart is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Wal Mart Stores, Inc. Dba Wal-Mart located?
- Wal Mart Stores, Inc. Dba Wal-Mart's practice location on file with NPPES is 31700 Grape Street, Lake Elsinore, CA 92530-9785.
- What is Wal Mart Stores, Inc. Dba Wal-Mart's phone number?
- The practice phone number listed in the NPPES registry for Wal Mart Stores, Inc. Dba Wal-Mart is (951) 245-3606.
- Who is the authorized official for Wal Mart Stores, Inc. Dba Wal-Mart?
- The authorized official listed on Wal Mart Stores, Inc. Dba Wal-Mart's NPPES record is Linda Epperson, Npi Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal Mart Stores, Inc. Dba Wal-Mart's NPI active?
- Yes — Wal Mart Stores, Inc. Dba Wal-Mart's NPI (1417040262) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.