OrganizationActive
Walmart Stores, Inc.
NPI 1568548766 · Eyewear Supplier · Lodi, CA
Walmart Stores, Inc. is a Eyewear Supplier organization in Lodi, CA (NPI 1568548766).
Provider details
- NPI number
- 1568548766
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Sr. Director(479) 371-1168
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
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
2350 W Kettleman Ln
Lodi, CA 95242-9762
Phone: (209) 368-6696
Street-level locationGet directions
Mailing address
1 Customer Dr, Ms 0445
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-1789
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Walmart Stores, Inc.'s NPI number?
- Walmart Stores, Inc.'s National Provider Identifier (NPI) is 1568548766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walmart Stores, Inc.?
- Walmart Stores, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Walmart Stores, Inc. located?
- Walmart Stores, Inc.'s practice location on file with NPPES is 2350 W Kettleman Ln, Lodi, CA 95242-9762.
- What is Walmart Stores, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Walmart Stores, Inc. is (209) 368-6696.
- Who is the authorized official for Walmart Stores, Inc.?
- The authorized official listed on Walmart Stores, Inc.'s NPPES record is Kimberly Canonic, Sr. Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walmart Stores, Inc.'s NPI active?
- Yes — Walmart Stores, Inc.'s NPI (1568548766) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.