Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · El Mirage, AZ

NPI number 1649476573 Active

Practice location

12900 W Thunderbird Rd
El Mirage, AZ 85335-5945

Call (623) 583-8920 Map

Fax (623) 583-8979

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

NPI record

NPI: 1649476573
Entity type: Organization (Type 2)
Issued: Jun 26, 2007
Last updated: Jul 21, 2022
Status: Active

Other names

<unavail>
Vision Center 30-4336 · doing business as
Walmart Vision Center 30-4336 · doing business as

Authorized official

Miss Sarah Little
Director Healthcare Contracting
(479) 277-2500

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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 1649476573

Wal-Mart Stores, Inc.'s National Provider Identifier is 1649476573, issued on Jun 26, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in El Mirage, AZ. The record was last updated on Jul 21, 2022.