SAM'S WEST INC NPI 1407251630

NPI Information

  • NPI: 1407251630
  • Provider Name: SAM'S WEST, INC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: SAM'S CLUB VISION CENTER 30-6616
  • Address: 601 S PLACENTIA AVE
    FULLERTON, CA
    ZIP 92831
  • Phone: (478) 258-2115

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NPI Details

SAM'S WEST, INC is an eyewear supplier in Fullerton, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SAM'S WEST, INC NPI is 1407251630. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sam's Club Vision Center 30-6616.

The provider's business location address is:

601 S PLACENTIA AVE
FULLERTON, CA
ZIP 92831
Phone: (478) 258-2115

The provider's authorized official is Deb Lauver .
The authorized official title is Specialist Plan Enrollment and has the following contact phone number (479) 258-2115.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 10/30/2014.

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: 3/30/2025

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