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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WALMART INC
NPI 1104724285
Eyewear Supplier in Mesa, AZ

Active since October 28, 2026
6312 S MOUNTAIN RD, MESA, AZ 85212(602) 606-4179 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Walmart Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART INC (NPI 1104724285), doing business as Walmart Vision Center 30-3089, is a healthcare organization registered as an eyewear supplier in Mesa, Arizona and active in the NPI registry since October 2026. The organization lists Kimberly Canonic, Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1104724285
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWALMART INC
Location Address6312 S MOUNTAIN RDMesa, AZ 85212
Mailing Address1 Customer DrBentonville, AR 72716-0445
Phone(602) 606-4179
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Manager · (480) 853-0515
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1104724285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
6312 S MOUNTAIN RD, Mesa, AZ 85212
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Other Names 1

Doing Business AsWalmart Vision Center 30-3089

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALMART INC
Pharmacy
6312 S MOUNTAIN RD
MESA, AZ 85212
Maricopa County (602) 606-4195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walmart Inc's NPI number?

The NPI number for Walmart Inc is 1104724285. It was assigned to this organization in the NPPES registry on October 28, 2026. The provider is doing business as Walmart Vision Center 30-3089.

Where is Walmart Inc located?

Walmart Inc is located at 6312 S Mountain Rd, Mesa, AZ 85212. The listed phone number is (602) 606-4179.

What is Walmart Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Walmart Inc was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.