Active NPI
Sam's West, Inc.
Doing business as Sam's Optical Center 30-4956
- Optician
- Tempe, AZ
National Provider Identifier
1023800950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- SAM'S WEST, INC.
- Doing business as
- Sam's Optical Center 30-4956
- Practice address
- 2080 E Rio Salado Pkwy
Tempe, AZ 85288-4840 - Phone
- (480) 606-1806
- Fax
- (480) 606-1811
- NPI assigned
- May 19, 2025
- Last updated
- May 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Canonic
- Title
- Senior Director
- Phone
- (480) 277-6348
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
2080 E Rio Salado Pkwy
Tempe, AZ 85288-4840
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Other names 1
- Sam's Optical Center 30-4956
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1023800950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 E RIO SALADO PKWY",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852884840",
"telephone_number": "480-606-1806",
"fax_number": "480-606-1811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S WEST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "CANONIC",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "SENIOR DIRECTOR",
"authorized_official_telephone_number": "480-277-6348"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Optical Center 30-4956",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tempe, AZ
- Roberto Phillip Salinas, LMSW
- Samantha Mason Salinas, LMT
- Yuri Salinas
- Lauren Salisbury, N.D.
- Rosangela Salomon, MAPC, PSYD, LAC
- Sam's West, Inc. (Sam's Pharmacy 10-4956)
- Jennifer Samaga, RBT
- Mohammad Ali None Samareh-Jahani, R.PH
- Samaria Behavioral Health Center LLC
- Samaria Behavioral Health Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.