Organization · Type 2 NPI

Walmart Inc.

Eyewear Supplier · Broomfield, CO

NPI number 1194807685 Active

Practice location

500 Summit Blvd.
Broomfield, CO 80021

Call (303) 466-3928 Map

Mailing address

702 SW 8th Street
Bentonville, AR 72716-0235

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.

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NPI record

NPI: 1194807685
Entity type: Organization (Type 2)
Issued: Oct 20, 2006
Last updated: Dec 8, 2023
Status: Active

Other names

<unavail>
Vision Center 30-5341 · doing business as
Walmart Vision Center 30-5341 · doing business as

Authorized official

Matthew McMullin
Director
(479) 371-8711

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.

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About NPI 1194807685

Walmart Inc.'s National Provider Identifier is 1194807685, issued on Oct 20, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Broomfield, CO. The record was last updated on Dec 8, 2023.