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

Sam's West Inc

Organization Optician · NPI 1871930289

Sam's West Inc is an Optician in Glen Carbon, Illinois. Registered with an NPI since 2013.

In the registry since
2013
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

5 Illini Dr
Glen Carbon, IL 62034-3929
Phone: (618) 692-7568
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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 number1871930289
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores Inc
Authorized official Amy Powers — Specialist, Plan Enrollment · (479) 204-0709
Other names Sam'S Vision Center 30-4878
NPI enumeratedMay 24, 2013
Last updated in NPPESMay 24, 2013
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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