Organization · Type 2 NPI

Walmart Inc

Eyewear Supplier · Mesa, AZ

NPI number 1104724285 Active

Practice location

6312 S Mountain Rd
Mesa, AZ 85212

Mailing address

1 Customer Dr
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

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

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About NPI 1104724285

Walmart Inc's National Provider Identifier is 1104724285, issued on Oct 28, 2026. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 28, 2026.