OrganizationActive
Sam'S West, Inc.
NPI 1639620099 · Eyewear Supplier · Conway, AR
Provider details
- NPI number
- 1639620099
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores, Inc
- Organization subpart
- Yes
- Authorized official
- Laura Levine, Dir. Healthcare Contracting(479) 204-8550
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Practice location
1250 South Amity Rd
Conway, AR 72032
Phone: (501) 205-7454
Fax: (501) 504-2576
Approximate (ZIP-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 30-4749
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2016-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.