Organization · Type 2 NPI

Walmart Inc.

Eyewear Supplier · Fountain, CO

NPI number 1871980219 Active

Practice location

4425 Venetucci Blvd
Fountain, CO 80906

Call (303) 305-2137 Map

Fax (719) 576-3698

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.

7 other providers at this address

Other eyewear supplier providers in Fountain

See all in Fountain →

NPI record

NPI: 1871980219
Entity type: Organization (Type 2)
Issued: Apr 23, 2015
Last updated: Dec 12, 2023
Status: Active

Other names

<unavail>
Walmart Vision Center 30-3018 · doing business as
Walmart Vision Center 30-3018 · 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 1871980219

Walmart Inc.'s National Provider Identifier is 1871980219, issued on Apr 23, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fountain, CO. The record was last updated on Dec 12, 2023.