Organization
SAM'S WEST, INC.
Active
Other names
Sam's Optical Center 30-4956
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 277-6348
Entity
Organization
Contact information
Practice address
2080 E RIO SALADO PKWY, TEMPE, AZ 85288-4840
(480) 606-1806
(480) 606-1811
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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