Organization · Type 2 NPI

Walmart Inc

Eyewear Supplier · West Haven, UT

NPI number 1205734464 Active

Practice location

4227 S Midland Dr
West Haven, UT 84401

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.

Another provider at this address

About NPI 1205734464

Walmart Inc's National Provider Identifier is 1205734464, issued on Oct 28, 2026. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in West Haven, UT. The record was last updated on Oct 28, 2026.