OrganizationActive
Sam'S West, Inc
NPI 1366835514 · Eyewear Supplier · Ankeny, IA
Sam'S West, Inc is a Eyewear Supplier organization in Ankeny, IA (NPI 1366835514).
Provider details
- NPI number
- 1366835514
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores, Inc
- Organization subpart
- Yes
- Authorized official
- Deb Lauver, Specialist Plan Enrollment(479) 258-2115
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4625 Se Delaware Ave
Ankeny, IA 50021-9351
Phone: (515) 559-1995
Fax: (515) 559-1996
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Sam'S Club Vision Center 30-6979
Registry dates
- Enumerated
- 2015-03-12
- Last updated
- 2015-03-12
Frequently asked questions
- What is Sam'S West, Inc's NPI number?
- Sam'S West, Inc's National Provider Identifier (NPI) is 1366835514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam'S West, Inc?
- Sam'S West, Inc is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Sam'S West, Inc located?
- Sam'S West, Inc's practice location on file with NPPES is 4625 Se Delaware Ave, Ankeny, IA 50021-9351.
- What is Sam'S West, Inc's phone number?
- The practice phone number listed in the NPPES registry for Sam'S West, Inc is (515) 559-1995.
- Who is the authorized official for Sam'S West, Inc?
- The authorized official listed on Sam'S West, Inc's NPPES record is Deb Lauver, Specialist Plan Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam'S West, Inc's NPI active?
- Yes — Sam'S West, Inc's NPI (1366835514) is active in the NPPES registry as of the last update on 2015-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.