Organization
SAM'S WEST, INC.
Active
Other names
Sam's Vision Center 30-6275
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIRECTOR, HEALTHCARE CONTRACTING AN)
(479) 204-8550
Entity
Organization
Contact information
Practice address
3084 N. MAIZE ROAD, WITCHITA, KS 67205
(316) 347-2587
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
10/31/2016
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