Active NPI
Walmart Stores, Inc.
Doing business as Vision Center 30-5124
- Eyewear Supplier
- Glendale, AZ
National Provider Identifier
1881782837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WALMART STORES, INC.
- Doing business as
- Vision Center 30-5124
- Practice address
- 5605 W Northern Ave
Glendale, AZ 85301-1332 - Phone
- (623) 934-6920
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
5605 W Northern Ave
Glendale, AZ 85301-1332
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Vision Center 30-5124
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Page, AZ
- NPI 1861410201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1881782837",
"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": "5605 W NORTHERN AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853011332",
"telephone_number": "623-934-6920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALMART STORES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"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": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Center 30-5124",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
- Walmart Inc. (Walmart Pharmacy 10-3465)
- Walmart Inc. (Walmart Pharmacy 10-1532)
- Walmart Inc. (Walmart Pharmacy 10-3314)
- Walmart Stores, Inc. (Vision Center 30-3465)
- Walmart Stores, Inc. (Vision Center 30-3241)
- Gabrielle Walrod, RBT
- David Charles Walsh, DC
- Niccol R Walsh, MASSAGE THERAPIST
- Sarah L. Walsh, PH.D.
- Christine Kim Walter, MSN, APRN, FNP-C
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.