Sams West INC

NPI #1215291364 in Elgin, Illinois

Provider Information

NPI Number: 1215291364
Entity Type: Organization
Organization Name: Sams West INC
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 3, 2012
Last Updated: Jul 3, 2012

Practice Location

Address: 1000 S RANDALL RD
City: Elgin
State: Illinois
ZIP Code: 60123-4108
Phone: (847) 888-8197

Authorized Official

Name: DIANNA PAINTER
Title: ENROLLMENT SPECIALIST
Phone: (479) 277-1238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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