OrganizationActive
Walmart Inc.
NPI 1124895065 · Optician · Mesa, AZ
Provider details
- NPI number
- 1124895065
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Matthew Mcmullin, Director(479) 371-8711
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
857 N Dobson Rd
Mesa, AZ 85201-7585
Phone: (480) 668-6952
Fax: (480) 969-2576
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Vision Center 30-2482
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2023-12-11
- Certified
- 2023-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.