Organization
WAL-MART PUERTO RICO
Active
Parent organization
WAL-MART STORES INC
Other names
Sams Club Optical 30-4748
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
DIANNA PAINTER (ENROLLMENT SPECIALIST)
(479) 277-1238
Entity
Organization
Contact information
Practice address
CARRETERA 16 & CARRETERA 830, BAYAMON SOUTH, PR 00957
(787) 730-3652
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us