Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sam's West, Inc

Organization Optician · NPI 1558805465

Sam's West, Inc is an Optician in Castle Rock, Colorado. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5940 Promenade Pkwy
Castle Rock, CO 80108
Phone: (303) 379-8039
Fax: (303) 379-8038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1558805465
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores, Inc
Authorized official Kelsey Genevich — Manager, Contracting And Enrollment · (479) 258-6724
Other names Sam'S Optical Center 30-4853
NPI enumeratedDecember 12, 2016
Last updated in NPPESDecember 23, 2016
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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