Organization
WALMART INC.
Active
Other names
Walmart Vision Center 30-3018
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR)
(479) 371-8711
Entity
Organization
Contact information
Practice address
4425 VENETUCCI BLVD, FOUNTAIN, CO 80906
(303) 305-2137
(719) 576-3698
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
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
12/12/2023
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