Wal-Mart Puerto Rico INC
Eyewear Supplier (Equipment, not the service) in Carolina, Puerto Rico
1114054517- Practice location
- Parque Escorial, Bo. San Anton State RD. #3, Carolina, PR 00792-0000
- Phone
- 787-257-0500
- Fax
- 787-257-0670
- Last updated
- July 17, 2026
Wal-Mart Puerto Rico INC is a healthcare organization based in Carolina, PR. Wal-Mart Puerto Rico INC practices in Carolina, PR. The NPI Number for Wal-Mart Puerto Rico INC is 1114054517. The current practice location address for Wal-Mart Puerto Rico INC is Parque Escorial, Bo. San Anton State RD. #3, Carolina, PR 00792-0000 and can be reached out via phone at 787-257-0500 and via fax at 787-257-0670.
Provider Profile Details
- NPI Number
- 1114054517
- Provider Name
- Wal-Mart Puerto Rico INC
- Provider Entity Type
- Organization
- Address
- Parque Escorial, Bo. San Anton State RD. #3, Carolina, PR 00792-0000
- Phone Number
- 787-257-0500
- Fax Number
- 787-257-0670
- Primary Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Sr Director · 480-853-0515
- Other Names
- Walmart Vision Center 30-2423 (Doing Business As)
- Provider Enumeration Date
- February 27, 2007
- Last Update Date
- July 17, 2026
- Certification Date
- July 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Parque Escorial
Bo. San Anton State RD. #3
Carolina, PR 00792-0000 - City
- Carolina
- State
- Puerto Rico
- Zip
- 00792-0000
- Phone Number
- 787-257-0500
- Fax Number
- 787-257-0670
Provider Business Mailing Address Details
- Address
- 1 Customer Dr
Ms 0445
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
License Information
- Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wal-Mart Puerto Rico INC?
The NPI number of Wal-Mart Puerto Rico INC is 1114054517. It was assigned on February 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Wal-Mart Puerto Rico INC?
Wal-Mart Puerto Rico INC is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X).
Where does Wal-Mart Puerto Rico INC practice?
The practice location is Parque Escorial, Bo. San Anton State RD. #3, Carolina, PR 00792-0000. The office can be reached at 787-257-0500 (phone) or 787-257-0670 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114054517 directly on the NPPES registry website.