Wal-Mart Stores, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

WAL-MART STORES, INC.

Doing business as

Vision Center 30-5428

Practice address

1710 S Greenfield Rd
Mesa, AZ 85206-3481

Phone

(480) 892-3814

NPI assigned

Oct 16, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda M. Epperson

Title

Npi Coordinator

Phone

(316) 788-5580

Specialties & licenses 2

Addresses

Other names 1

• Vision Center 30-5428 Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Walmart Inc.

  dba Walmart Pharmacy 10-5428

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1619994092

  O20100930042456

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669552774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH STREET",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S GREENFIELD RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063481",
            "telephone_number": "480-892-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "NPI COORDINATOR",
        "authorized_official_telephone_number": "316-788-5580"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center 30-5428",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Wahlin
• Bryce Waite, MC, LPC
• Adrienne Wakefield
• Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-3799)
• Wal-Mart Stores, Inc. (Walmart Vision Center 30-3833)
• Jenna Wald, MD
• Debi Waldeck, NBHWC
• Spencer Thomas Walden, LMT
• Tamara Kay Waldron, PA-C
• Sean Steven Wale, DO

• Eyewear Supplier in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.