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).
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. |
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 Optical Center 30-4853 | Doing Business As Name - Organization |
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 |
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 |
5940 PROMENADE PKWY |
City | CASTLE ROCK |
State | CO |
Zip Code | 80108 |
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 |
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 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 |
---|---|---|---|---|
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 |
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 |
City | CASTLE ROCK |
Zip Code | 80108 |
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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.