OrganizationActive
Walmart Inc.
NPI 1710077995 · Optician · Pueblo, CO
Walmart Inc. is a Optician organization in Pueblo, CO (NPI 1710077995).
Provider details
- NPI number
- 1710077995
- 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
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
4200 Dillon Dr
Pueblo, CO 81008-2113
Phone: (719) 545-6404
Street-level locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Walmart Vision Center 30-0842
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Frequently asked questions
- What is Walmart Inc.'s NPI number?
- Walmart Inc.'s National Provider Identifier (NPI) is 1710077995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walmart Inc.?
- Walmart Inc. is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Walmart Inc. located?
- Walmart Inc.'s practice location on file with NPPES is 4200 Dillon Dr, Pueblo, CO 81008-2113.
- What is Walmart Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Walmart Inc. is (719) 545-6404.
- Who is the authorized official for Walmart Inc.?
- The authorized official listed on Walmart Inc.'s NPPES record is Matthew Mcmullin, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walmart Inc.'s NPI active?
- Yes — Walmart Inc.'s NPI (1710077995) is active in the NPPES registry as of the last update on 2023-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.