Wal-Mart Puerto Rico INC
Eyewear Supplier (Equipment, not the service) in Carolina, PR. Organization (NPI-2).
NPI number1114229283
StatusActive
Last updated in NPPESNov 23, 2010
Details
- NPI
- 1114229283
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Puerto Rico INC
- Organization subpart
- Yes
- Enumeration date
- Nov 23, 2010
- Last updated
- Nov 23, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Vision Center 30-2423 (Doing Business As)
Practice location
Carr# 3 Km 6.8Parque Escorial
Carolina, PR 00987
Phone 787-701-1045
Mailing address
702 Sw 8th St.Bentonville, AR 72716
Authorized official
Dianna Painter
Enrollment Specialist
4792771238
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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