Active NPIOrganization

Wal-Mart Puerto Rico INC

Eyewear Supplier (Equipment, not the service) in San Juan, Puerto Rico

NPI Number1245576081
Practice location
Pr-2 Todd Ave. Corchado St. Corner, San Juan, PR 00936
Fax
—
Last updated
July 17, 2026

Wal-Mart Puerto Rico INC is a healthcare organization based in San Juan, PR. Wal-Mart Puerto Rico INC practices in San Juan, PR. The NPI Number for Wal-Mart Puerto Rico INC is 1245576081. The current practice location address for Wal-Mart Puerto Rico INC is Pr-2 Todd Ave. Corchado St. Corner, San Juan, PR 00936 and can be reached out via phone at 787-641-5600.

Provider Profile Details

NPI Number
1245576081
Provider Name
Wal-Mart Puerto Rico INC
Provider Entity Type
Organization
Address
Pr-2 Todd Ave. Corchado St. Corner, San Juan, PR 00936
Phone Number
787-641-5600
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 30-5803 (Doing Business As)
Provider Enumeration Date
December 26, 2012
Last Update Date
July 17, 2026
Certification Date
July 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Pr-2 Todd Ave. Corchado St. Corner
San Juan, PR 00936
Zip
00936
Phone Number
787-641-5600
San Juan, PR 00936Get directions →

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

IdentifierTypeStateIssuer
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 1245576081. It was assigned on December 26, 2012 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 Pr-2 Todd Ave. Corchado St. Corner, San Juan, PR 00936. The office can be reached at 787-641-5600 (phone).

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 1245576081 directly on the NPPES registry website.

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