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SAM'S WEST, INC.
NPI 1023800950
Technician/Technologist - Optician in Tempe, AZ

Active since May 19, 2025CLIA 03D2324060 · Waiver
2080 E RIO SALADO PKWY, TEMPE, AZ 85288(480) 606-1806(480) 606-1811 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam's West, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM'S WEST, INC. (NPI 1023800950), doing business as Sam's Optical Center 30-4956, is a healthcare organization registered as an optician in Tempe, Arizona and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Kimberly Canonic, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1023800950
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameSAM'S WEST, INC.
Location Address2080 E RIO SALADO PKWYTempe, AZ 85288-4840
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(480) 606-1806
Fax(480) 606-1811
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director · (480) 277-6348
Enumeration DateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1023800950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedEyewear SupplierTaxonomy 332H00000X
2080 E RIO SALADO PKWY, Tempe, AZ 85288
Open in Google Maps ↗

Other Names 1

Doing Business AsSam's Optical Center 30-4956

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2324060

Sam's West, Inc Dba Sam's Club Pharmacy # 10-4956 · Tempe, AZ
Active · expires May 18, 2027
CLIA Number03D2324060
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorMatthew Staub
Laboratory Phone(480) 606-1805
Laboratory LocationSam's West, Inc Dba Sam's Club Pharmacy # 10-49562080 E Rio Salado Pkwy, Tempe, AZ 85288
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAM'S WEST, INC.
Pharmacy (Community/Retail Pharmacy)
2080 E RIO SALADO PKWY
TEMPE, AZ 85288
Maricopa County (479) 371-2827
WESLEY VO
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2080 E RIO SALADO PKWY
TEMPE, AZ 85288
Maricopa County (602) 735-3951
OMEGA VISION, LLC
Optometrist
2080 E RIO SALADO PKWY
TEMPE, AZ 85288
Maricopa County (480) 606-1806
BRITTANY A WEAGHINGTON ABOC,NCLEC,LDO
Technician/Technologist (Optician)
2080 E RIO SALADO PKWY
TEMPE, AZ 85288
Maricopa County (480) 606-1806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam's West, Inc.'s NPI number?

The NPI number for Sam's West, Inc. is 1023800950. It was assigned to this organization in the NPPES registry on May 19, 2025. The provider is doing business as Sam's Optical Center 30-4956.

Where is Sam's West, Inc. located?

Sam's West, Inc. is located at 2080 E Rio Salado Pkwy, Tempe, AZ 85288. The listed phone number is (480) 606-1806.

What is Sam's West, Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Does Sam's West, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2324060) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sam's West, Inc. was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.