Wal-Mart Puerto Rico INC
Eyewear Supplier (Equipment, not the service) in Mayaguez, PR. Organization (NPI-2).
NPI number1003942467
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1003942467
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Puerto Rico INC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2007
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Walmart Vision Center 30-2067 (Doing Business As)
Practice location
Mayaguez MallState Rd # 2
Mayaguez, PR 00680
Phone 787-834-2280 · Fax 787-834-3020
Mailing address
1 Customer DrMs 0445
Bentonville, AR 72716-0445
Authorized official
Kimberly Canonic
Sr Director
4808530515
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All 15 Eyewear Supplier providers in Mayaguez · All 2,108 providers in Mayaguez
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