SAM'S WEST, INC. (NPI# 1790223006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790223006 |
Entity Type | Organization |
Organization Name | SAM'S WEST, INC. |
Other Organization Name | SAM'S CLUB VISION CENTER 30-4808 |
Practice Address |
1517 Gene George Blvd Springdale AR 72762 |
Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
Practice Telephone | 4793658130 |
Practice Fax Number | 4793064437 |
Mailing Telephone | (479) 277-2500 |
Mailing Fax Number | 4792774331 |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-09-25 |
Authorized Official Name | SARAH LITTLE (DIR HEALTHCARE CONTRACT&ENROLLMENT) |
Authorized Official Telephone | 4792772500 |
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 |
---|---|
Sam's Club Vision Center 30-4808 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
1851790810 | Sam's West, Inc. | Technician/Technologist | 9851 S 71st Plaza, Papillion, NE 68133 | 2014-08-15 |
1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
1306863691 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 6570 Grand Ave, Gurnee, IL 60031-1621 | 2006-07-16 |
1518476704 | Sam's West, Inc. | Eyewear Supplier (Equipment, not the service) | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2017-09-20 |
1386182640 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
1558805465 | Sam's West, Inc. | Technician/Technologist | 5940 Promenade Pkwy, Castle Rock, CO 80108 | 2016-12-12 |
1285092577 | Sam's West, Inc. | Technician/Technologist | 1200 S Hover St, Longmont, CO 80501-7902 | 2016-02-02 |
1003092438 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2008-01-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | SAM'S WEST, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
Colorado Business Entities | SAM'S WEST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
Iowa Business Entities | SAM'S WEST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
Massachusetts Corporations | SAM'S WEST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
Washington State Corporations | SAM'S WEST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
Vermont Business Registrations | SAM'S WEST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
Street Address |
1517 GENE GEORGE BLVD |
City | SPRINGDALE |
State | AR |
Zip Code | 72762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072237 | Robert Spradlin | Pharmacist | 1517 Gene George Blvd, Springdale, AR 72762-0716 | 2020-10-31 |
1306446323 | Alyssa Charlton | Pharmacist | 1517 Gene George Blvd, Springdale, AR 72762-0716 | 2020-10-28 |
1952914475 | Kelsey White Od Pllc | Optometrist | 1517 Gene George Blvd, Springdale, AR 72762-0716 | 2020-08-25 |
1386182640 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
1073977476 | Shealtiel Blu Kuykendall | Social Worker | 3708 Amberwood St., Springdale, AR 72762 | 2016-04-12 |
Find all providers in zip 72762 |
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 |
---|---|---|---|---|
1184789463 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 11711 Princeton Pike, Princeton Plaza, Springdale, OH 45246-2534 | 2006-12-27 |
1851782833 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1100 E Kemper Rd, Springdale, OH 45246-3321 | 2015-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093225633 | Success Vision Express of Conway | Eyewear Supplier (Equipment, not the service) | 1100 S Amity Rd Ste B, Conway, AR 72032-8106 | 2017-10-10 |
1356886360 | Success Vision Express of Hot Springs, LLC | Eyewear Supplier (Equipment, not the service) | 4043 Central Ave, Ste A, Hot Springs, AR 71913-7208 | 2016-12-29 |
1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
1437471588 | Deer Optical | Eyewear Supplier (Equipment, not the service) | 4942 W Markham St, Little Rock, AR 72205-3732 | 2010-02-17 |
1548591118 | Camp Eye Care Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 2601 E Race Ave, Suite 3, Searcy, AR 72143-4774 | 2010-01-21 |
1912149725 | Calvin F Graham, Inc | Eyewear Supplier (Equipment, not the service) | 1001 Lexington Ave, Fort Smith, AR 72901-4945 | 2009-03-26 |
1336300730 | Schroeder Optical | Eyewear Supplier (Equipment, not the service) | 9600 Lile Dr Ste 260, Little Rock, AR 72205-6373 | 2008-06-19 |
1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
1144415761 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2600 S Shackleford Road, Jc Penney Optical, Little Rock, AR 72205 | 2007-09-06 |
1093905721 | Pharmedic, Inc | Eyewear Supplier (Equipment, not the service) | 4425 Central Ave, Suite A, Hot Springs, AR 71913 | 2007-07-30 |
Find all providers with the same taxonomy |
City | SPRINGDALE |
Zip Code | 72762 |
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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.