OrganizationActive
Sam'S West, Inc.
NPI 1558805465 · Eyewear Supplier · Castle Rock, CO
Sam'S West, Inc. is a Eyewear Supplier organization in Castle Rock, CO (NPI 1558805465).
Provider details
- NPI number
- 1558805465
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores, Inc.
- Organization subpart
- Yes
- Authorized official
- Kelsey Genevich, Manager, Contracting and Enrollment(479) 258-6724
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
5940 Promenade Pkwy
Castle Rock, CO 80108
Phone: (303) 379-8039
Fax: (303) 379-8038
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Sam'S Optical Center 30-4853
Registry dates
- Enumerated
- 2016-12-12
- Last updated
- 2016-12-23
Frequently asked questions
- What is Sam'S West, Inc.'s NPI number?
- Sam'S West, Inc.'s National Provider Identifier (NPI) is 1558805465, 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 5940 Promenade Pkwy, Castle Rock, CO 80108.
- What is Sam'S West, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sam'S West, Inc. is (303) 379-8039.
- Who is the authorized official for Sam'S West, Inc.?
- The authorized official listed on Sam'S West, Inc.'s NPPES record is Kelsey Genevich, Manager, Contracting and 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 (1558805465) is active in the NPPES registry as of the last update on 2016-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.