WAL-MART PUERTO RICO INC (NPI# 1407158587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407158587 |
| Entity Type | Organization |
| Organization Name | WAL-MART PUERTO RICO INC |
| Other Organization Name | SAMS CLUB OPTICAL 30-6270 |
| Practice Address |
Kilometro 84.0 Carr#2 Hatillo PR 00659 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716 |
| Practice Telephone | 7878205300 |
| 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 |
| Parent Organization TIN |
|
| 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 30-6270 | 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 |
KILOMETRO 84.0 CARR#2 |
| City | HATILLO |
| State | PR |
| Zip Code | 00659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103828 | Angelica Maria Laclaustra | Nutritionist | Pr 129 Km 15.1, Suite #3 First Floor, Hatillo, PR 00659 | 2020-10-29 |
| 1558979823 | Super Farmacia Corcovada 2 | Pharmacy | Carr 493 Km 1.2, Bo. Carrizales, Hatillo, PR 00659 | 2020-07-22 |
| 1275151698 | Marangely Gonzalez Mercado | Student in an Organized Health Care Education/Training Program | Calle Daniel Nieves Adames Bo. Naranjito, Hatillo, PR 00659 | 2020-07-13 |
| 1528686649 | Shakirah Colon Hernandez | Occupational Therapist | Carr #2 Km 81.5 Bo. Carrizales, Hatillo, PR 00659 | 2020-07-07 |
| 1740805191 | Rafael E Paz Jr. | General Practice | Urb. Costa Norte, Calle Delfin L-24, Hatillo, PR 00659 | 2020-06-11 |
| 1497370787 | Jose Alexis Ramos Arbelo | General Practice | Carr. 487 Km. 7.7 Bo. Bayaney, Hatillo, PR 00659 | 2020-06-11 |
| 1437779196 | Natalia Garcia | Specialist/Technologist | Bo Carrizales, Hatillo, PR 00659 | 2020-04-23 |
| 1730718156 | Elite Health Medical LLC | General Practice | Carr 130 Km 7.7 Bo. Buena Vista, Hatillo, PR 00659 | 2020-04-07 |
| 1659907798 | Lorraine Minely Mora Colon | Pharmacist | Bo Corcovada Road 492 Km 2.3, Hatillo, PR 00659 | 2020-03-20 |
| 1609401942 | Innovare Dental | Clinic/Center | Edif Tropical Plaza Suite 3, Carr 2 Marginal 272, Hatillo, PR 00659 | 2020-03-06 |
| Find all providers in zip 00659 | ||||
| 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 |
|---|---|---|---|---|
| 1548737844 | Empresas Optica Nacional | Eyewear Supplier (Equipment, not the service) | Carr 2 Int. 130 Local 3, La Ceiba Shopping Center, Hatillo, PR 00659 | 2018-10-25 |
| 1730405937 | G.a. New Magical Frame Inc | Eyewear Supplier (Equipment, not the service) | Jose P. H. Hernandez, # 63, Hatillo, PR 00659-0000 | 2010-04-13 |
| 1194057950 | Sams Club # 6270 | Eyewear Supplier (Equipment, not the service) | Carr.#2 Km 84.2, Esquina Carrizales, Hatillo, PR 00659 | 2010-02-04 |
| 1295971141 | Del Norte Optometric Center Inc | Eyewear Supplier (Equipment, not the service) | Carr 493 Km0 9 Bo Carrizales Del Norte Professional, Del Norte Professionalcenter Suite 102, Hatillo, PR 00659 | 2008-12-24 |
| 1063615961 | Brand Optics Outlet | Eyewear Supplier (Equipment, not the service) | 159 Carr 2, Hatillo, PR 00659-1814 | 2007-06-07 |
| 1023144474 | Walmart #1854 | Eyewear Supplier (Equipment, not the service) | State Rd #2 Km 81.9, Bo. Carrizales, Hatillo, PR 00659-0000 | 2007-02-27 |
| 1275747446 | Eye Care Optical | Eyewear Supplier (Equipment, not the service) | 73 Calle Ph Hernandez, Hatillo, PR 00659-2007 | 2007-05-09 |
| 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 | ||||
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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.