SAM'S WEST, INC.


Address: 5940 Promenade Pkwy, Castle Rock, CO 80108
Phone: 3033798039

SAM'S WEST, INC. (NPI# 1558805465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558805465
Entity Type Organization
Organization Name SAM'S WEST, INC.
Other Organization Name SAM'S OPTICAL CENTER 30-4853
Practice Address 5940 Promenade Pkwy
Castle Rock
CO 80108
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 3033798039
Practice Fax Number 3033798038
Mailing Telephone 4792586724
Mailing Fax Number 4792774331
Enumeration Date 2016-12-12
Last Update Date 2016-12-23
Authorized Official Name KELSEY GENEVICH (MANAGER, CONTRACTING AND ENROLLMENT)
Authorized Official Telephone 4792586724
Is Organization Subpart Y
Parent Organization Name WAL-MART STORES, INC.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Sam's Optical Center 30-4853 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790223006 Sam's West, Inc. Technician/Technologist 1517 Gene George Blvd, Springdale, AR 72762 2017-02-07
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
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

Other Data Sources

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

Office Location

Street Address 5940 PROMENADE PKWY
City CASTLE ROCK
State CO
Zip Code 80108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003367434 Sams West Inc Durable Medical Equipment & Medical Supplies 5940 Promenade Pkwy, Castle Rock, CO 80108-1904 2016-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164050902 Elisabeth Susanne Littleton Clinical Nurse Specialist 6415 Montano Pl, Castle Pines, CO 80108 2020-03-28
1508366576 Converge Health, LLC Pharmacist 4410 Orofino Pl, Castle Rock, CO 80108 2018-02-16
1447677042 New Paradigm Counseling Community/Behavioral Health 757 Maleta Lane Suite 101, Castle Rock, CO 80108 2014-03-21
1205258043 Valerie Sorensen Miller Lactation Consultant, Non-RN 9201 N Palomino, Castle Rock, CO 80108 2014-01-14
1134555238 Michael Hunter Pharmacist 8664 Fawnwood Dr, Castle Pines, CO 80108 2013-09-20
1821341587 Herman Aristov Specialist/Technologist, Other 1170 Berganot Trail, Castle Pines, CO 80108 2012-10-18
1457625691 Castle Rock Modern Dentistry, LLP Dentist 36 East Allen Street, Ste. 100, Castle Rock, CO 80108 2012-03-06
1407166770 Scott Ryan Dentist 850 Happy Canyon Road, Castle Rock, CO 80108 2010-10-20
1184817330 Ralph Richard Trinque Dentist 7080 Campden Pl, Castle Pines, CO 80108 2007-08-21
1982826517 Pediatric Denticare, P.C. Dentist 361 Village Square Lane, Suite 100, Castle Rock, CO 80108 2007-05-03
Find all providers in zip 80108

Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992311062 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 6378 Promenade Pkwy # A100, Castle Rock, CO 80108-1910 2020-09-23
1174178016 Sowash Optometry Group, P.C. Eyewear Supplier (Equipment, not the service) 4765 Front St Ste D, Castle Rock, CO 80104-7938 2019-08-07
1467796292 Reid Optometry, PC Eyewear Supplier (Equipment, not the service) 3750 Dacoro Ln Ste 140, Castle Rock, CO 80109-2514 2012-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265049266 Mbo Vision, Inc Eyewear Supplier (Equipment, not the service) 18148 W 92nd Ln, Suite 400, Arvada, CO 80007-8164 2020-09-24
1013522010 Western States Optical, Inc. Eyewear Supplier (Equipment, not the service) 1268 Interquest Pkwy Ste 120, Colorado Springs, CO 80921-4209 2020-09-15
1669006896 Jand. Inc. Eyewear Supplier (Equipment, not the service) 1750 29th St Unit 1046, Boulder, CO 80301-1027 2020-02-26
1023651015 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 14535 Delaware St, Westminster, CO 80023-9175 2019-10-22
1609426121 Sowash Optometry Group, PC Eyewear Supplier (Equipment, not the service) 1805 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 2019-09-17
1588140180 Jand. Inc. Eyewear Supplier (Equipment, not the service) 1805 Blake St Ste H-2, Denver, CO 80202-1227 2018-07-17
1780182618 Sowash Optometry Group, P.C. Eyewear Supplier (Equipment, not the service) 4918b Thompson Pkwy, Johnstown, CO 80534-6425 2018-01-25
1518475177 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3000 E 1st Ave Ste 168, Denver, CO 80206-5640 2018-01-17
1043734775 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 8455 Park Meadows Center Dr, Lone Tree, CO 80124-5128 2017-08-03
1861925513 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 15 S Steele St, Denver, CO 80209-2829 2017-04-10
Find all providers with the same taxonomy

Competitor

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City CASTLE ROCK
Zip Code 80108

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Dataset Information

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.

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