Organization · NPI-2

Sams West INC

Technician/Technologist, Optician · Visalia, CA

NPI number1740191105
StatusActive
Last updated in NPPESSep 15, 2026

Details

NPI
1740191105
Entity type
Organization (NPI-2)
Legal business name
Sams West INC
Organization subpart
No
Enumeration date
Sep 15, 2026
Certification date
Sep 14, 2026
Last updated
Sep 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes
332H00000X Eyewear Supplier (Equipment, not the service)––

Other names

  • Sam'S Optical Center 30-7718 (Doing Business As)

Practice location

4545 S Mooney Blvd
Visalia, CA 93277

Phone 559-839-2926 · Fax 559-839-2931

Mailing address

1 Customer Dr
Bentonville, AR 72716-0445

Authorized official

Kimberly Canonic
Senior Director
4808530515

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