Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Puerto Rico Inc

Organization Eyewear Supplier · NPI 1245562081

Wal-Mart Puerto Rico Inc is an Eyewear Supplier in Carolina, Puerto Rico. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Parque Escorial Bo San Anton Carr #3
Carolina, PR 00987
Phone: (787) 257-5230
Fax: (787) 257-1934

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1245562081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Sr Director · (480) 853-0515
Other names Sam'S Optical Center 30-6543; Sams Club Optical #6543
NPI enumeratedFebruary 4, 2010
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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