Whalio Doctors

NPI 1639620099

Sam's West, INC.

Organisation Eyewear Supplier Conway, AR

Practice location

Address
1250 South Amity Rd, Conway, AR 72032
Phone
(501) 205-7454
Fax
(501) 504-2576
Mailing address
702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name
Laura Levine
Title
Dir. Healthcare Contracting
Phone
(479) 204-8550

Registered specialties (2)

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X
Optician
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1639620099
Entity type
Organization
NPI issued
20 Oct 2016
Record last updated
20 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.