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SAM'S VISION CENTER 30-4878
NPI 1871930289
Eyewear Supplier in Glen Carbon, IL

Active since May 24, 2013
5 ILLINI DR, GLEN CARBON, IL 62034(618) 692-7568 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam's Vision Center 30-4878 NPPES

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

SAM'S VISION CENTER 30-4878 (NPI 1871930289) is a healthcare organization registered as an eyewear supplier in Glen Carbon, Illinois and active in the NPI registry since May 2013. The organization lists Amy Powers, Specialist, Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1871930289
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S WEST INC
Location Address5 ILLINI DRGlen Carbon, IL 62034-3929
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(618) 692-7568
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialAmy PowersSpecialist, Plan Enrollment · (479) 204-0709
Enumeration DateMay 24, 2013
✔ NPI 1871930289 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
5 ILLINI DR, Glen Carbon, IL 62034
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Other Names 1

Doing Business AsSam's Vision Center 30-4878

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 6

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

SAMS WEST INC
Pharmacy (Community/Retail Pharmacy)
5 ILLINI DR
GLEN CARBON, IL 62034
Madison County (618) 692-7568
DR. GREGORY ANTHONY COCHRAN PHARM. D.
Pharmacist
5 ILLINI DR
GLEN CARBON, IL 62034
Madison County (618) 659-7339
ASHLEY BOATMAN OD
Optometrist
5 ILLINI DR
GLEN CARBON, IL 62034
Madison County (618) 659-7341
ERIC JOSEPH BOMBA
Pharmacist
5 ILLINI DR
GLEN CARBON, IL 62034
Madison County (618) 359-7339
SHARON LAHAIE
Hearing Instrument Specialist
5 ILLINI DR
GLEN CARBON, IL 62034
Madison County (618) 659-7343
HANNAH WIELAND
Pharmacist
5 ILLINI DR
GLEN CARBON, IL 62034
Madison County (618) 659-7339

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 1871930289. It was assigned to this organization in the NPPES registry on May 24, 2013. The provider is doing business as Sam's Vision Center 30-4878.

Where is Sam's West Inc located?

Sam's West Inc is located at 5 Illini Dr, Glen Carbon, IL 62034. The listed phone number is (618) 692-7568.

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 May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.