Organization
WALMART, INC.
Active
Other names
Walmart Vision Center 30-1218
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR)
(479) 371-8711
Entity
Organization
Contact information
Practice address
1741 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4763
(520) 836-3357
(520) 836-7531
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/05/2023
Last updated
06/24/2024
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