WAL-MART PUERTO RICO INC (NPI# 1275835357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275835357 |
| Entity Type | Organization |
| Organization Name | WAL-MART PUERTO RICO INC |
| Other Organization Name | SAMS CLUB OPTICAL 30-4806 |
| Practice Address |
Carr # 3 Km15.2 Carolina East PR 00979 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716 |
| Practice Telephone | 7877574640 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4792771238 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Sams Club Optical 30-4806 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014514 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Carr 2 Ave R H Todd Esq, Calle Corchado Santurce, San Juan, PR 00907 | 2013-02-13 |
| 1255681144 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Carr 2 Sector La Virgencita Inter, Carr 165 Media Luna Ward, Toa Baja, PR 00949 | 2012-09-18 |
| 1497022438 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Bechara Industrial Park 1045, Marginal John F Kennedy, San Juan, PR 00907-4908 | 2011-11-18 |
| 1164724704 | Wal-mart Puerto Rico Inc | Technician/Technologist | Plaza Centro II, Caguas, PR 00726 | 2010-12-02 |
| 1619279791 | Wal-mart Puerto Rico Inc | Technician/Technologist | 1145 Carr# 2, Barceloneta, PR 00617 | 2010-11-23 |
| 1700188877 | Wal-mart Puerto Rico Inc | Technician/Technologist | 150 Carr 940, Ste 180, Fajardo, PR 00738 | 2010-11-23 |
| 1336441427 | Wal-mart Puerto Rico Inc | Technician/Technologist | # 333 Carr#14, Cot Laurel, PR 00780 | 2010-11-23 |
| 1609178797 | Wal-mart Puerto Rico Inc | Technician/Technologist | Carr Estatal 3, Ponca, PR 00732 | 2010-11-23 |
| 1114229283 | Wal-mart Puerto Rico Inc | Technician/Technologist | Carr# 3 Km 6.8, Parque Escorial, Carolina, PR 00987 | 2010-11-23 |
| 1134421209 | Wal-mart Puerto Rico Inc | Technician/Technologist | Carr. 2 Km56.6, Barceloneta, PR 00617 | 2010-11-23 |
| Street Address |
CARR # 3 KM15.2 |
| City | CAROLINA EAST |
| State | PR |
| Zip Code | 00979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769254 | Irma Cristina Acevedo | Psychologist | St. Palma De Sombrero #2, Urb. Villas Del Palmar Sur, Carolina, PR 00979 | 2020-08-06 |
| 1306468145 | Celia Rivera | Social Worker | 42 Calle Lucero, Urb. Los Angeles, Carolina, PR 00979 | 2020-05-14 |
| 1659922771 | Neyda Rosa Estremera | Technician | Condomino Waldorf Towers Apt. 1202, 4123 Ave. Isla Verde, Carolina, PR 00979 | 2019-09-20 |
| 1891351417 | Cesar G. Gerena Candal | General Practice | 1906 Cond Mundo Feliz, Carolina, PR 00979 | 2019-05-20 |
| 1770054298 | Movitaxi | Ambulance | 5870 Calle Tartak Apart 2104, Condominio Costa Del Sol, Carolina, PR 00979 | 2018-12-10 |
| 1720569973 | Soobin Maeng | General Practice | Condominio Playa Dorada Torres B Ph 12, Carolina, PR 00979 | 2018-08-26 |
| 1780170514 | Mayelin Amoros Duquesne | Internal Medicine | 5347 Ave Isla Verde, Marbella Oeste 1814, Carolina, PR 00979 | 2018-07-04 |
| 1851886741 | Carl L Palermo | Independent Medical Examiner | 7041 Calle 187 Apt 609a, Carolina, PR 00979 | 2018-06-25 |
| 1548753338 | Carol Stephanie Gonzalez | Psychologist | Isla Verde Mall, Avenida Los Gobernadores, Suite 218, Carolina, PR 00979 | 2018-06-07 |
| 1104323906 | Hospitalist Medical Services, Psc | Anesthesiology | Edificio Jesus T Pinero Ave Fernandez Juncos Bo Pueblo, Carolina, PR 00979 | 2018-04-09 |
| Find all providers in zip 00979 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598352 | Ojo Bahia Inc | Eyewear Supplier (Equipment, not the service) | 501 Ave Andalucia, San Juan, PR 00920-4173 | 2020-11-02 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1295345494 | Chaimarie Diaz Gonzalez | Eyewear Supplier (Equipment, not the service) | 450 Calle Ferrocarril Ste 102, Ponce, PR 00717-4105 | 2020-08-03 |
| 1134742067 | Deo Pr Retail 2 LLC | Eyewear Supplier (Equipment, not the service) | 270 Pr-52, Caguas, PR 00725 | 2020-05-27 |
| 1669092508 | Tu Optica Dr. Reinaldo Manolo Vazquez | Eyewear Supplier (Equipment, not the service) | Ave. Universidad Interamericana 183 Centro Comercial, Local 106, Sangerman, PR 00683 | 2020-04-21 |
| 1255951257 | Sebastian Optical | Eyewear Supplier (Equipment, not the service) | Edificio Dr Colberg La 100 Km5.3, Cabo Rojo, PR 00623 | 2020-04-20 |
| 1962042150 | Glorimar Rivera | Eyewear Supplier (Equipment, not the service) | Calle 48 I#3 Royal Town, Bayamon, PR 00956 | 2020-01-15 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1477199313 | Opti-vision Center | Eyewear Supplier (Equipment, not the service) | Calle Jose M Toro Basora #4, Lajas, PR 00667 | 2019-11-26 |
| 1578111043 | Shalem Consumer Brands | Eyewear Supplier (Equipment, not the service) | Avenida JesÚs M. Fragoso, Carolina, PR 00983 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA EAST |
| Zip Code | 00979 |
Please comment or provide details below to improve the information on WAL-MART PUERTO RICO INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.