Organization Name: | WALMART #2423 |
NPI Number: | 1114054517 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE L HERNANDEZ (DIR. OF SPECIALTY DIVISIONS) |
Mailing Address: | Parque Escorial Bo. San Anton State Rd. #3 Carolina |
State: | PR US |
Postal Code: | 007920000 |
Phone Number: | 7872570500 |
Fax Number: | 7872570670 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |