OrganizationActive
Walmart #2067
NPI 1003942467 · Eyewear Supplier · Mayaguez, PR
Provider details
- NPI number
- 1003942467
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jorge Hernandez, Director of Specialty Division(787) 653-7777
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mayaguez Mall
State Rd # 2
Mayaguez, PR 00680
Phone: (787) 834-2280
Fax: (787) 834-3020
Mailing address
975 Ave. Hostos
Mayaguez, PR 00668-1252
Other names (DBA / former)
- Other name
- Walmart Vision Center #2067
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.