SAM'S CLUB VISION CENTER 30-4749
NPI 1639620099
Eyewear Supplier in Conway, AR
NPI Status: Active since October 20, 2016
Contact Information
1250 SOUTH AMITY RD
CONWAY, AR
ZIP 72032
Phone: (501) 205-7454
Fax: (501) 504-2576
- Organization
- Eyewear Supplier
- Accepts Insurance
- CLIA Number: 04D2122878
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 12-07-2026
About SAM'S CLUB VISION CENTER 30-4749
This page provides the complete NPI Profile along with additional information for Sam's Club Vision Center 30-4749, a provider established in Conway, Arkansas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1639620099 assigned on October 2016. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Sam's Club Vision Center 30-4749. The authorized official of this NPI record is Laura Levine (Dir. Healthcare Contracting)
- NPI
- 1639620099
- Provider Legal Name
- SAM'S WEST, INC.
- Other Organization Name
- SAM'S CLUB VISION CENTER 30-4749
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1250 SOUTH AMITY RD CONWAY, AR 72032
- Location Phone
- (501) 205-7454
- Location Fax
- (501) 504-2576
- Mailing Address
- 702 SW 8TH ST BENTONVILLE, AR 72716
- Mailing Phone
- (479) 277-1242
- Mailing Fax
- (501) 504-2576
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-20-2016
- Last Update Date
- 10-20-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2122878
- Facility Type
- Pharmacy
- Certificate Effective Date
- December 08, 2024
- Certificate Expiration Date
- December 07, 2026
- Laboratory Director
- ASHLEY JACKSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sam's Club Vision Center 30-4749 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639620099, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639620099, enumerated as an "organization" on October 20, 2016.
The provider is located at 1250 SOUTH AMITY RD CONWAY, AR 72032 and the phone number is (501) 205-7454.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.
