Sam's West, INC
NPI #1275945255 in Montgomery, Illinois
Provider Information
- NPI Number
- 1275945255
- Entity Type
- Organization
- Organization Name
- Sam's West, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 27, 2014
- Last Updated
- Sep 29, 2025
Practice Location
- Address
- 1050 OGDEN AVE
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-5404
- Phone
- (630) 449-1953
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SR. DIRECTOR
- Phone
- (479) 371-1168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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