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SAM'S CLUB VISION CENTER 30-6979
NPI 1366835514
Eyewear Supplier in Ankeny, IA

Active since March 12, 2015
4625 SE DELAWARE AVE, ANKENY, IA 50021(515) 559-1995(515) 559-1996 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sam's Club Vision Center 30-6979 NPPES

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

SAM'S CLUB VISION CENTER 30-6979 (NPI 1366835514) is a healthcare organization registered as an eyewear supplier in Ankeny, Iowa and active in the NPI registry since March 2015. The organization lists Deb Lauver, Specialist Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1366835514
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S WEST, INC
Location Address4625 SE DELAWARE AVEAnkeny, IA 50021-9351
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-2115 · Fax (479) 277-4331
Phone(515) 559-1995
Fax(515) 559-1996
Organization SubpartYesParent: Wal-mart Stores, Inc
Authorized OfficialDeb LauverSpecialist Plan Enrollment · (479) 258-2115
Enumeration DateMarch 12, 2015
✔ NPI 1366835514 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
4625 SE DELAWARE AVE, Ankeny, IA 50021
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Other Names 1

Doing Business AsSam's Club Vision Center 30-6979

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 ›

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sam's Club Pharmacy 10-6979 carries, from the Medicare DMEPOS supplier directory.

Sam's Club Pharmacy 10-6979

DMEPOS supplier · Ankeny, IAOperated by Sams West Inc
✔

Accepts Medicare assignment

Sam's Club Pharmacy 10-6979 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20452415
Medicare Participant SinceNovember 1, 2018
Supplier Location4625 SE Delaware AveAnkeny, IA 50021
Phone(515) 559-1995
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

NICHOLAS WOOLLEY
Hearing Instrument Specialist
4625 SE DELAWARE AVE
ANKENY, IA 50021
Polk County (515) 559-1999
SAMS WEST INC
Pharmacy (Community/Retail Pharmacy)
4625 SE DELAWARE AVE
ANKENY, IA 50021
Polk County (515) 559-1995
MRS. ERIN MARIE CHRISTENSEN PHARM.D.
Pharmacist
4625 SE DELAWARE AVE
ANKENY, IA 50021
Polk County (515) 559-1995
KERI LYNN MICHEL
Pharmacist
4625 SE DELAWARE AVE
ANKENY, IA 50021
Polk County (515) 559-1995

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 1366835514. It was assigned to this organization in the NPPES registry on March 12, 2015. The provider is doing business as Sam's Club Vision Center 30-6979.

Where is Sam's West, Inc located?

Sam's West, Inc is located at 4625 SE Delaware Ave, Ankeny, IA 50021. The listed phone number is (515) 559-1995.

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

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

Does Sam's West, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sam's Club Pharmacy 10-6979 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 March 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.