Shopko Stores Operating Co. Llc in Brigham City - Optometrist
Shopko Stores Operating Co. Llc - NPI 1700839545
Shopko Stores Operating Co. Llc is a Optometrist in Brigham City, Utah. Shopko Stores Operating Co. Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shopko Stores Operating Co. Llc is 1700839545. The last update date is 2008-07-10.
Shopko Stores Operating Co. Llc's current location address is 747 S Main St, Brigham City, Utah. You can contact this provider via phone number 4357231800. The mailing address for Shopko Stores Operating Co. Llc is 747 S Main St, Brigham City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 747 S Main St, Brigham City, Utah |
| Phone Number | 4357231800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1700839545 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 747 S Main St |
|---|---|
| City | Brigham City |
| State | Utah (UT) |
| Post Code | 843023359 |
| Phone Number | 4357231800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35524 | AVESIS | ||
| 17927 | MEDICARE | ||
| 410985054-165 | UT | -- | |
| CP2230-41 | EYEMED | ||
| 14104 | VIP | ||
| UT04883 | UT | NORIDIAN SUBMITTER ID |
Post Comment/ Review Below
What is the Shopko Stores Operating Co. Llc's unique identification number?
The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) Number 1700839545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shopko Stores Operating Co. Llc is physically located?
The Shopko Stores Operating Co. Llc is situated at the following address: 747 S Main St, Brigham City, UT 843023359.
What is the Shopko Stores Operating Co. Llc's area of specialization and corresponding taxonomy classification?
The Shopko Stores Operating Co. Llc's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Shopko Stores Operating Co. Llc receive the assignment of its 1700839545 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was issued its 1700839545 by the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the details related to Shopko Stores Operating Co. Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-10.
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