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SAMS WEST INC NPI 1528329745


NPI Information

NPI: 1528329745
Provider Name: SAMS WEST INC

Doing Business As: SAMS CLUB OPTICAL 30-6487

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 14D2133005

Address:
1006 N ROHLWING RD
ADDISON, IL
ZIP 60101
Phone: (630) 261-0318
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SAMS WEST INC is an eyewear supplier in Addison, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SAMS WEST INC NPI is 1528329745. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sams Club Optical 30-6487.

The provider's business location address is:

1006 N ROHLWING RD
ADDISON, IL
ZIP 60101-034
Phone: (630) 261-0318

The provider's authorized official is Diannna Painter .
The authorized official title is Enrollment Specialist and has the following contact phone number (479) 277-1238.

The CLIA number assigned to this NPI record is 14D2133005 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 6/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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