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 1194057950
Eyewear Supplier in Hatillo, PR

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

The NPI number for Wal-Mart Puerto Rico Inc is 1194057950. It was assigned to this organization in the NPPES registry on February 4, 2010. The provider is doing business as Sam's Optical Center 30-6270 and Sams Club Optica.

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 February 04, 2010

CARR.#2 KM 84.2, ESQUINA CARRIZALES, HATILLO, PR 00659(787) 544-7279(787) 820-5409 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1194057950), doing business as Sam's Optical Center 30-6270, is a healthcare organization registered as an eyewear supplier in Hatillo, Puerto Rico and active in the NPI registry since February 2010. The organization lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1194057950

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameWAL-MART PUERTO RICO INC

Location AddressCARR.#2 KM 84.2, ESQUINA CARRIZALESHatillo, PR 00659

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

Phone(787) 544-7279

Fax(787) 820-5409

Organization SubpartNo

Authorized OfficialKimberly CanonicSr Director · (480) 853-0515

Enumeration DateFebruary 4, 2010

Last NPPES UpdateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1194057950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

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

Other Names 2

Doing Business AsSam's Optical Center 30-6270

Doing Business AsSams Club Optica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

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 1194057950. It was assigned to this organization in the NPPES registry on February 4, 2010. The provider is doing business as Sam's Optical Center 30-6270 and Sams Club Optica.

Where is Wal-Mart Puerto Rico Inc located?

Wal-Mart Puerto Rico Inc is located at Carr.#2 Km 84.2 Esquina Carrizales, Hatillo, PR 00659. The listed phone number is (787) 544-7279.

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

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

What insurance does Wal-Mart Puerto Rico Inc accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart Puerto Rico Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 28 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.