Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WAL-MART PUERTO RICO INC
NPI 1164724704
Eyewear Supplier in Caguas, PR

Q: What is Wal-Mart Puerto Rico Inc's NPI number?

The NPI number for Wal-Mart Puerto Rico Inc is 1164724704. It was assigned to this organization in the NPPES registry on December 2, 2010. The provider is doing business as Sams Club Optical 30-6689 and Sam's Optical Center 30-6689.

Q: What is Wal-Mart Puerto Rico Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since December 02, 2010

PLAZA CENTRO II, AVE MUNOZ MARIN, CAGUAS, PR 00725(787) 746-1039(787) 746-1664 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Mar 12, 2025 (2 updates tracked since 2025).

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About Wal-mart Puerto Rico Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART PUERTO RICO INC (NPI 1164724704), doing business as Sams Club Optical 30-6689, is a healthcare organization registered as an eyewear supplier in Caguas, Puerto Rico and active in the NPI registry since December 2010. The organization lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1164724704

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART PUERTO RICO INC

Location AddressPLAZA CENTRO II, AVE MUNOZ MARINCaguas, PR 00725

Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445

Phone(787) 746-1039

Fax(787) 746-1664

Organization SubpartNo

Authorized OfficialKimberly CanonicSr Director · (480) 853-0515

Enumeration DateDecember 2, 2010

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1164724704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

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

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X

Other Names 2

Doing Business AsSams Club Optical 30-6689

Doing Business AsSam's Optical Center 30-6689

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Puerto Rico Inc's NPI number?

The NPI number for Wal-Mart Puerto Rico Inc is 1164724704. It was assigned to this organization in the NPPES registry on December 2, 2010. The provider is doing business as Sams Club Optical 30-6689 and Sam's Optical Center 30-6689.

Where is Wal-Mart Puerto Rico Inc located?

Wal-Mart Puerto Rico Inc is located at Plaza Centro II Ave Munoz Marin, Caguas, PR 00725. The listed phone number is (787) 746-1039.

What is Wal-Mart Puerto Rico Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Puerto Rico Inc was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.