Organization · Type 2 NPI

Wal-Mart Puerto Rico Inc

Eyewear Supplier · Bayamon, PR

NPI number 1659408185 Active

Practice location

501 West Main Ave.
Bayamon, PR 00961-0000

Call (787) 269-2088 Map

Fax (787) 269-2090

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 Bayamon

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NPI record

NPI: 1659408185
Entity type: Organization (Type 2)
Issued: Feb 28, 2007
Last updated: Jul 17, 2026
Status: Active

Other names

<unavail>
Walmart Vision Center 30-2501 · doing business as
Walmart Vision Center #2501 · other name

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 1659408185

Wal-Mart Puerto Rico Inc's National Provider Identifier is 1659408185, issued on Feb 28, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bayamon, PR. The record was last updated on Jul 17, 2026.