Organization · Type 2 NPI
Sam's West, Inc
Eyewear Supplier · Montgomery, IL
NPI number
1275945255
Active
Practice location
1050 Ogden Ave
Montgomery, IL 60538-5404
Fax (630) 449-1954
Mailing address
1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician | 156FX1800X | None listed |
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
3 other providers at this address
Other eyewear supplier providers in Montgomery
About NPI 1275945255
Sam's West, Inc's National Provider Identifier is 1275945255, issued on May 27, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Montgomery, IL. The record was last updated on Sep 29, 2025.