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SAM'S WEST, INC
NPI 1275945255
Eyewear Supplier in Montgomery, IL

Active since May 27, 2014
1050 OGDEN AVE, MONTGOMERY, IL 60538(630) 449-1953(630) 449-1954 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1275945255), doing business as Sam's Club Vision Center 30-6388, is a healthcare organization registered as an eyewear supplier in Montgomery, Illinois and active in the NPI registry since May 2014. The organization lists Kimberly Canonic, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1275945255
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S WEST, INC
Location Address1050 OGDEN AVEMontgomery, IL 60538-5404
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(630) 449-1953
Fax(630) 449-1954
Organization SubpartYesParent: Wal-mart Stores, Inc
Authorized OfficialKimberly CanonicSr. Director · (479) 371-1168
Enumeration DateMay 27, 2014
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1275945255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
1050 OGDEN AVE, Montgomery, IL 60538
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Other Names 1

Doing Business AsSam's Club Vision Center 30-6388

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

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.

JESSICA POGGI
Hearing Instrument Specialist
1050 OGDEN AVE
MONTGOMERY, IL 60538
Kane County (630) 449-1956
SAMS WEST INC
Pharmacy (Community/Retail Pharmacy)
1050 OGDEN AVE
MONTGOMERY, IL 60538
Kane County (630) 449-1953
DONNA SLAS RPH
Pharmacist (Ambulatory Care)
1050 OGDEN AVE
MONTGOMERY, IL 60538
Kane County (630) 449-1953
KEVIN GOODWIN
Optometrist
1050 OGDEN AVE
MONTGOMERY, IL 60538
Kane County (630) 449-1955

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 1275945255. It was assigned to this organization in the NPPES registry on May 27, 2014. The provider is doing business as Sam's Club Vision Center 30-6388.

Where is Sam's West, Inc located?

Sam's West, Inc is located at 1050 Ogden Ave, Montgomery, IL 60538. The listed phone number is (630) 449-1953.

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

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Sam's West, Inc accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Sam's West, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam's West, Inc was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.