SAMS WEST, INC. (NPI# 1508200379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508200379 |
| Entity Type | Organization |
| Organization Name | SAMS WEST, INC. |
| Other Organization Name | SAMS CLUB VISION CENTER 30-6425 |
| Practice Address |
4600 E 2nd St Casper WY 82609-4224 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3072373362 |
| Practice Fax Number | 3072373475 |
| Mailing Telephone | 4792048741 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | DEB LAUVER (SPECIALIST PLAN ENROLLMENT) |
| Authorized Official Telephone | 4792048741 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Sams Club Vision Center 30-6425 | Doing Business As Name - Organization |
| Street Address |
4600 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366822249 | Yvette Kaul | Pharmacist | 4600 E 2nd St, Casper, WY 82609-4224 | 2015-06-04 |
| 1891133286 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 4600 E 2nd St, Casper, WY 82609-4224 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578029054 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3400 E 2nd St, Casper, WY 82609-2278 | 2019-02-20 |
| 1881885184 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 1905 E A St, Casper, WY 82601-2224 | 2007-08-05 |
| 1194877076 | Visions Plus Inc. | Eyewear Supplier (Equipment, not the service) | 204 S Durbin St, Casper, WY 82601-2562 | 2007-01-18 |
| 1528072899 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 701 Se Wyoming Blvd, Casper, WY 82609-4213 | 2006-07-29 |
| 1992747554 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4400 E 2nd St, Casper, WY 82609-4221 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1407037252 | Vision Center At Westbank, Inc | Eyewear Supplier (Equipment, not the service) | 520 Us Hwy 89, Jackson, WY 83001 | 2007-11-21 |
| 1427265180 | Eye Care Clinic & Optical LLC | Eyewear Supplier (Equipment, not the service) | 6228 Yellowstone Rd, Cheyenne, WY 82009-3432 | 2007-05-16 |
| 1265554968 | Pro-vision Works Inc | Eyewear Supplier (Equipment, not the service) | 1619 Logan Ave, Cheyenne, WY 82001-5139 | 2007-04-04 |
| 1306937453 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1400 Dell Range Blvd, Frontier Mall Ste #69a, Cheyenne, WY 82009-4801 | 2006-09-27 |
| 1710991088 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1400 Dell Range, Cheyenne, WY 82009 | 2006-07-29 |
| 1225075039 | Optique 20/20, Inc-green River | Eyewear Supplier (Equipment, not the service) | 175 Riverview Dr, Suite E & F, Green River, WY 82935-4811 | 2006-06-01 |
| 1821536277 | Eye Attire LLC | Eyewear Supplier (Equipment, not the service) | 412 N Main St, Ste 100, Buffalo, WY 82834-1754 | 2017-02-06 |
| 1336212158 | Lower Valley Vision Clinic Inc | Eyewear Supplier (Equipment, not the service) | 491 N Main St, Suite A, Thayne, WY 83127-9768 | 2006-11-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.