Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Queen Creek, AZ

NPI number 1053409607 Active

Practice location

1725 W Hunt Hwy
Queen Creek, AZ 85143-5203

Call (480) 358-4180 Map

Fax (480) 358-4394

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

6 other providers at this address

Other eyewear supplier providers in Queen Creek

See all in Queen Creek →

NPI record

NPI: 1053409607
Entity type: Organization (Type 2)
Issued: Oct 10, 2006
Last updated: Jul 21, 2022
Status: Active

Other names

<unavail>
Vision Center 30-3751 · doing business as
Walmart Vision Center 30-3751 · doing business as

Authorized official

Sarah Little
Director Healthcare Contracting
(479) 277-2500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1053409607

Wal-Mart Stores, Inc.'s National Provider Identifier is 1053409607, issued on Oct 10, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Queen Creek, AZ. The record was last updated on Jul 21, 2022.