WAL-MART PUERTO RICO INC (NPI# 1164724704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164724704 |
| Entity Type | Organization |
| Organization Name | WAL-MART PUERTO RICO INC |
| Other Organization Name | SAMS CLUB OPTICAL 30-6689 |
| Practice Address |
Plaza Centro II Caguas PR 00726 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716 |
| Practice Telephone | 7877461039 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| 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 30-6689 | 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 |
| 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 |
| 1407158587 | Wal-mart Puerto Rico Inc | Technician/Technologist | Kilometro 84.0, Carr#2, Hatillo, PR 00659 | 2010-11-23 |
| Street Address |
PLAZA CENTRO II |
| City | CAGUAS |
| State | PR |
| Zip Code | 00726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548591688 | Sams Club #6689 | Eyewear Supplier (Equipment, not the service) | Plaza Centro II, Ave. Munoz Marin, Caguas, PR 00725 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294312 | Orialis Lebron | Psychologist | P-3 Urb Bairoa, Ave Velazquez, Caguas, PR 00726 | 2020-10-26 |
| 1861090177 | Clinica Medicina Primaria Y Preventiva - Dr Angel M Ortiz Ortega LLC | General Practice | Carr 183 Km 4.8, Bo Tomas De Castro 2, Caguas, PR 00726 | 2020-10-09 |
| 1497353791 | Clinica Medicina Primaria Y Preventiva Dr Angel M Ortiz Ortega | Clinic/Center | Bo Tomas De Castro 2, Carr 183 Km 4.8, Caguas, PR 00726 | 2020-10-09 |
| 1801402359 | Roberto Torres | Registered Nurse | Consolidated Mall Anexo B5, Caguas, PR 00726 | 2020-09-21 |
| 1215543269 | Laurie Michelle Rodriguez Rodriguez | Student in an Organized Health Care Education/Training Program | Salida 21 Carr. 172, Urb. Turabo Gardens, Caguas, PR 00726 | 2020-09-16 |
| 1619587458 | Andrea Carolina Collazo-fonseca | Student in an Organized Health Care Education/Training Program | Urb. Vista Real 1, Calle Canaboncito, Caguas, PR 00726 | 2020-08-06 |
| 1619595667 | Sonjai Marie Rosario-vicente | Chiropractor | C8 Ave. Gautier Benitez, Consolidated Mall, Caguas, PR 00726 | 2020-07-07 |
| 1104440346 | Ninoshka Marie Caballero Colon | Student in an Organized Health Care Education/Training Program | Carr 172 K5 Sector La Sierra, Caguas, PR 00726 | 2020-06-03 |
| 1265053847 | Lianette Marie Santiago | Speech-Language Pathologist | Carretera 172 Anexo Hospital Menonita, Caguas, PR 00726 | 2020-05-05 |
| 1447886650 | Kiara Griselle Rivera-guevara | General Practice | Salida 21 Carr. 172 Urb. Turabo Gardens, Caguas, PR 00726 | 2020-03-19 |
| Find all providers in zip 00726 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1134742067 | Deo Pr Retail 2 LLC | Eyewear Supplier (Equipment, not the service) | 270 Pr-52, Caguas, PR 00725 | 2020-05-27 |
| 1225509870 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 200 Ave Rafael Cordero Ste 106, Caguas, PR 00725-4302 | 2018-12-07 |
| 1427525724 | Empresas Optica Nacional | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle 13 M34, Urb. Condado Moderno, Caguas, PR 00725 | 2018-10-25 |
| 1245625185 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 200 Ave Rafael Cordero Ste 14, Caguas, PR 00725-3740 | 2015-03-30 |
| 1124455977 | Miguel Resto Mejias | Eyewear Supplier (Equipment, not the service) | Hc 1 Box 26912, Caguas, PR 00725-8933 | 2013-10-10 |
| 1326389818 | Hoptical | Eyewear Supplier (Equipment, not the service) | Carr. 172, Urb. Turabo Gardens, Hospital Menonita Caguas, Primer Piso, Caguas, PR 00725 | 2013-03-07 |
| 1588948335 | Walmart Pr Inc. | Eyewear Supplier (Equipment, not the service) | Carr # 1 Bo. Rio Canas, Pmb 725 Box 4960, Caguas, PR 00726 | 2011-09-28 |
| 1922322593 | Mendez Velez Inc | Eyewear Supplier (Equipment, not the service) | Carr 1 Km 2.2 Villa Del Carmen Mall, Dentro Del Supermercado Econo, Caguas, PR 00725 | 2010-03-25 |
| 1871728410 | Toperbee Corporation | Eyewear Supplier (Equipment, not the service) | 400 Calle Benitez, Las Catalinas Mall Local 440, Caguas, PR 00725 | 2009-05-27 |
| Find all providers in CAGUAS | ||||
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| 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.