OrganizationActive
Wal-Mart Stores Inc
NPI 1649510082 · Eyewear Supplier · Elk Grove, CA
Wal-Mart Stores Inc is a Eyewear Supplier organization in Elk Grove, CA (NPI 1649510082).
Provider details
- NPI number
- 1649510082
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Samantha Davenport, Enrollment Specialist(479) 277-1240
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
10075 Bruceville Rd
Elk Grove, CA 95757-9501
Phone: (916) 585-7809
Fax: (916) 585-7602
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Wal-Mart Vision Center 30-5848
Registry dates
- Enumerated
- 2013-02-21
- Last updated
- 2013-02-21
Frequently asked questions
- What is Wal-Mart Stores Inc's NPI number?
- Wal-Mart Stores Inc's National Provider Identifier (NPI) is 1649510082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores Inc?
- Wal-Mart Stores Inc is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Wal-Mart Stores Inc located?
- Wal-Mart Stores Inc's practice location on file with NPPES is 10075 Bruceville Rd, Elk Grove, CA 95757-9501.
- What is Wal-Mart Stores Inc's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores Inc is (916) 585-7809.
- Who is the authorized official for Wal-Mart Stores Inc?
- The authorized official listed on Wal-Mart Stores Inc's NPPES record is Samantha Davenport, Enrollment Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores Inc's NPI active?
- Yes — Wal-Mart Stores Inc's NPI (1649510082) is active in the NPPES registry as of the last update on 2013-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.