WAL-MART PUERTO RICO INC (NPI# 1700188877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700188877 |
| Entity Type | Organization |
| Organization Name | WAL-MART PUERTO RICO INC |
| Other Organization Name | VISION CENTER 30-1822 |
| Practice Address |
150 Carr 940 Ste 180 Fajardo PR 00738 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716 |
| Practice Telephone | 7878010504 |
| 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 |
|---|---|
| Vision Center 30-1822 | 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 |
| 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 |
150 CARR 940 STE 180 |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| 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 |
|---|---|---|---|---|
| 1528434925 | Ohi of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | Pr 3 Int 940 Plaza Fajardo, Edificio 1212 A, Fajardo, PR 00738 | 2015-08-19 |
| 1154457679 | Walmart #1822 | Eyewear Supplier (Equipment, not the service) | State Road #3 Km 43.3 Int. 194, Fajardo, PR 00738-0000 | 2007-02-26 |
| 1114070414 | Ohi of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | Pr 3 Int 940, Plaza Fajardo Edificio 1212 A, Fajardo, PR 00738 | 2007-01-19 |
| 1609956572 | Waleed M. Kaleel | Eyewear Supplier (Equipment, not the service) | 410 Monte Sol Avenue In Style Vision, Suite 9, Fajardo, PR 00738 | 2006-10-16 |
| 1841628328 | Good Vision | Eyewear Supplier (Equipment, not the service) | 15 Calle Garrido Morales W, Fajardo, PR 00738-4632 | 2013-10-22 |
| 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.