OrganizationActive
Walmart Inc.
NPI 1194807685 · Eyewear Supplier · Broomfield, CO
Provider details
- NPI number
- 1194807685
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Matthew Mcmullin, Director(479) 371-8711
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
500 Summit Blvd.
Broomfield, CO 80021
Phone: (303) 466-3928
Street-level locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-5341
- Doing business as
- Walmart Vision Center 30-5341
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.