Organization · Type 2 NPI

Wal-Mart Puerto Rico Inc

Eyewear Supplier · Ponce, PR

NPI number 1386975423 Active

Practice location

2180 Ave. Eduardo Ruberte, Bo. Pampanos
Ponce, PR 00732

Call (787) 844-7524 Map

Fax (787) 812-1825

Mailing address

1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other eyewear supplier providers in Ponce

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NPI record

NPI: 1386975423
Entity type: Organization (Type 2)
Issued: Jan 28, 2010
Last updated: Jul 17, 2026
Status: Active

Other names

<unavail>
Sam's Optical Center 30-6690 · doing business as
Sams Club Optical #6690 · doing business as

Authorized official

Kimberly Canonic
SR Director
(480) 853-0515

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386975423

Wal-Mart Puerto Rico Inc's National Provider Identifier is 1386975423, issued on Jan 28, 2010. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Ponce, PR. The record was last updated on Jul 17, 2026.