National Provider Identifier Database

WALMART 2067
Eyewear Supplier

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


Contact Information

WALMART #2067
MAYAGUEZ MALL
STATE RD # 2
MAYAGUEZ, PR00680
Phone: 787-834-2280
Fax: 787-834-3020
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for WALMART #2067

NPI Number 1003942467
Legal business name
LBN
WALMART #2067
Authorized official JORGE HERNANDEZ - (DIRECTOR OF SPECIALTY DIVISION)
Entity Organization
Organization subpart No
Enumeration date 02/27/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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