NPI 1164724233

Wal-Mart Puerto Rico INC

Organisation Eyewear Supplier Bayamon, PR

Practice location

Address: 1500 Ave Comerio, Bayamon, PR 00961-3976
Phone: (787) 740-0660
Mailing address: 1 Customer Dr Ms 0445, Bentonville, AR 72716-0445

Authorised official

Name: Kimberly Canonic
Title: Sr Director
Phone: (480) 853-0515

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Puerto Rico →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Puerto Rico →

Registry record

NPI: 1164724233
Entity type: Organization
NPI issued: 23 Nov 2010
Record last updated: 17 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.