WAL-MART PUERTO RICO INC (NPI# 1437451523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437451523 |
| Entity Type | Organization |
| Organization Name | WAL-MART PUERTO RICO INC |
| Other Organization Name | SAMS CLUB OPTICAL 30-6543 |
| Practice Address |
Pr# 3 Plaza Escorial Carolina PR 00987 |
| Mailing Address |
702 Sw 8th St. Bentonvill AR 72716 |
| Practice Telephone | 7877692038 |
| 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 30-6543 | 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 |
PR# 3 PLAZA ESCORIAL |
| City | CAROLINA |
| State | PR |
| Zip Code | 00987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876519 | New Era Compounding | Pharmacy | Lote 6-k Espacio 'a' Julion Matos Industrial Park, Calle Campeche (int Carr Pr-887 Km 9.6) Bo Martin Gonza, Carolina, PR 00987 | 2020-09-16 |
| 1871127993 | Victor A Andino | Social Worker | G 30 C/12 Urb. Metropolis, Carolina, PR 00987 | 2020-02-27 |
| 1073144291 | Nelson Xavier Del Pilar | Student in an Organized Health Care Education/Training Program | Universidad De Puerto Rico - Recinto De Carolina, Carolina, PR 00987 | 2020-01-27 |
| 1447805023 | Claryness Gutierrez Delgado | Nutritionist | Carretera 185 Km 15.7, Barrio Cedros, Carolina, PR 00987 | 2019-08-09 |
| 1922652478 | Ismari Rivera Garcia | Social Worker | Paseo Del Prado Shopping Center 107, Km 3.8 Pr 3, Carolina, PR 00987 | 2019-08-01 |
| 1669033858 | Debora Liz Reyes Galarza | Student in an Organized Health Care Education/Training Program | 1-30 Palacios Del Escorial, Ave De Diego, Carolina, PR 00987 | 2019-06-27 |
| 1891355681 | Rosa J Pagan | Social Worker | 407 Begonia, Quintas De Campeche, Carolina, PR 00987 | 2019-06-14 |
| 1346806361 | Michelle Marie Garriga - Vidal | Pharmacist | Plaza Escorial Bo San Anton, Carr 3 Ave 65 De Infanteria Inter Carr 887, Carolina, PR 00987 | 2019-05-15 |
| 1275196339 | Carlos Sebastian Ramos Encarnacion | Student in an Organized Health Care Education/Training Program | 113 Guajataca, Urb Remanso Taino, Carolina, PR 00987 | 2019-04-15 |
| 1336609361 | Tatiana Correa | Physician Assistant | Palacios Del Escorial Apt 1410, Carolina, PR 00987 | 2019-03-25 |
| Find all providers in zip 00987 | ||||
| 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 |
|---|---|---|---|---|
| 1578111043 | Shalem Consumer Brands | Eyewear Supplier (Equipment, not the service) | Avenida JesÚs M. Fragoso, Carolina, PR 00983 | 2019-08-28 |
| 1598268054 | Toperbee Corporation | Eyewear Supplier (Equipment, not the service) | 200 Ave Fragoso Ste 157, Carolina, PR 00983-3172 | 2018-03-12 |
| 1114453537 | Solo Optica 2 | Eyewear Supplier (Equipment, not the service) | Marginal Baldorioty De Castro Centro Comercial Laguna, Garden Suite 101-a, Carolina, PR 00979 | 2017-05-04 |
| 1558744375 | Maura Stabile | Eyewear Supplier (Equipment, not the service) | Calle Manuela Walker A-26 #2, Urb Rolling Hills, Carr 860, Carolina, PR 00987 | 2015-06-30 |
| 1891026001 | Sam's Club #4806 | Eyewear Supplier (Equipment, not the service) | Carr #3 Km 15.2, Bo. Canovanilla, Carolina, PR 00979 | 2010-01-28 |
| 1629230321 | Professional Eye Care Inc | Eyewear Supplier (Equipment, not the service) | Carolina Shopp Ctr # 245, Fragoso Avenue, Carolina, PR 00985-5672 | 2008-06-25 |
| 1033324413 | Isis Fine Vision Services Inc | Eyewear Supplier (Equipment, not the service) | Via Mirta 3 Fs 1, Villa Fontana, Carolina, PR 00988-9419 | 2007-05-11 |
| 1518000579 | Insight Optical | Eyewear Supplier (Equipment, not the service) | Jesus Fragaso Ave Hwy 3 Loiza Hwy, Carolina, PR 00985 | 2007-02-15 |
| 1194870931 | Pearle Vision Center of Puerto Rico, Inc | Eyewear Supplier (Equipment, not the service) | Local 245, Plaza Carolina Mall 2nd Level, Carolina, PR 00988-9567 | 2007-01-24 |
| 1740334903 | Ohi of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 157 Plaza Carolina, Baldorioty De Castro-exp, Carolina, PR 00985 | 2007-01-23 |
| Find all providers in CAROLINA | ||||
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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.