Active NPIOrganization

Wal-Mart Puerto Rico INC

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

NPI Number1386975423
Practice location
2180 Ave. Eduardo Ruberte, Bo. Pampanos, Ponce, PR 00732
Fax
787-812-1825
Last updated
July 17, 2026

Wal-Mart Puerto Rico INC is a healthcare organization based in Ponce, PR. Wal-Mart Puerto Rico INC practices in Ponce, PR. The NPI Number for Wal-Mart Puerto Rico INC is 1386975423. The current practice location address for Wal-Mart Puerto Rico INC is 2180 Ave. Eduardo Ruberte, Bo. Pampanos, Ponce, PR 00732 and can be reached out via phone at 787-844-7524 and via fax at 787-812-1825.

Provider Profile Details

NPI Number
1386975423
Provider Name
Wal-Mart Puerto Rico INC
Provider Entity Type
Organization
Address
2180 Ave. Eduardo Ruberte, Bo. Pampanos, Ponce, PR 00732
Phone Number
787-844-7524
Fax Number
787-812-1825
Primary Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X
Organization Subpart
No
Authorized Official
Kimberly Canonic · Sr Director · 480-853-0515
Other Names
Sam'S Optical Center 30-6690 (Doing Business As)
Provider Enumeration Date
January 28, 2010
Last Update Date
July 17, 2026
Certification Date
July 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2180 Ave. Eduardo Ruberte
Bo. Pampanos
Ponce, PR 00732
City
Ponce
Zip
00732
Phone Number
787-844-7524
Fax Number
787-812-1825
Ponce, PR 00732Get 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 1386975423. It was assigned on January 28, 2010 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 2180 Ave. Eduardo Ruberte, Bo. Pampanos, Ponce, PR 00732. The office can be reached at 787-844-7524 (phone) or 787-812-1825 (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 1386975423 directly on the NPPES registry website.

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