Walmart INC.
Technician/Technologist, Optician in Mesa, AZ. Organization (NPI-2).
NPI number1124895065
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1124895065
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Walmart Vision Center 30-2482 (Doing Business As)
Practice location
857 N Dobson RdMesa, AZ 85201-7585
Phone 480-668-6952 · Fax 480-969-2576
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-371-2827 · Fax 479-277-4331
Authorized official
Matthew McMullin
Director
4793718711
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