Organization · Type 2 NPI

Sam's West, Inc

Eyewear Supplier · Ankeny, IA

NPI number 1366835514 Active

Practice location

4625 SE Delaware Ave
Ankeny, IA 50021-9351

Call (515) 559-1995 Map

Fax (515) 559-1996

Mailing address

702 SW 8th St
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.

4 other providers at this address

Other eyewear supplier providers in Ankeny

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NPI record

NPI: 1366835514
Entity type: Organization (Type 2)
Issued: Mar 12, 2015
Last updated: Mar 12, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Sam's Club Vision Center 30-6979 · doing business as

Authorized official

Deb Lauver
Specialist Plan Enrollment
(479) 258-2115

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About NPI 1366835514

Sam's West, Inc's National Provider Identifier is 1366835514, issued on Mar 12, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Ankeny, IA. The record was last updated on Mar 12, 2015.