Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Maricopa, AZ

NPI number 1194959007 Active

Practice location

41650 W Maricopa Casa Grande Hwy
Maricopa, AZ 85138-3206

Call (520) 568-0419 Map

Fax (520) 568-0628

Mailing address

702 SW 8th Street
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

NPI record

NPI: 1194959007
Entity type: Organization (Type 2)
Issued: May 6, 2009
Last updated: Jul 21, 2022
Status: Active

Other names

<unavail>
Walmart Vision Center 30-4430 · doing business as
Walmart Vision Center 30-4430 · doing business as

Authorized official

Ms. 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.

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About NPI 1194959007

Wal-Mart Stores, Inc.'s National Provider Identifier is 1194959007, issued on May 6, 2009. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Maricopa, AZ. The record was last updated on Jul 21, 2022.