Sam'S Vision Center 30-4878

LBN: Sam'S West Inc
Sam'S Vision Center 30-4878 is an health care organization with primary practice located at 5 Illini Dr , Glen Carbon IL 62034-3929. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Sam'S West Inc can be contacted via phone (618) 692-7568, or through Powers, Amy via phone (479) 204-0709.

Contact Information

Primary practice address
5 Illini Dr Glen Carbon IL 62034-3929
Phone: (618) 692-7568
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Powers, Amy
Phone: (479) 204-0709

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1871930289
LBN Legal business name Sam'S West Inc
DBA Doing business as Sam'S Vision Center 30-4878
Authorized official Powers, Amy
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2013
Last updated May 24th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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