Shopko Stores Operating Co. Llc in Spokane - Optometrist
Shopko Stores Operating Co. Llc - NPI 1023060050
Shopko Stores Operating Co. Llc is a Optometrist in Spokane, Washington. 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 1023060050. The last update date is 2009-06-05.
Shopko Stores Operating Co. Llc's current location address is 4515 S Regal St, Spokane, Washington. You can contact this provider via phone number 5094489686. The mailing address for Shopko Stores Operating Co. Llc is 4515 S Regal St, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 4515 S Regal St, Spokane, Washington |
| Phone Number | 5094489686 |
| 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 | 1023060050 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2009-06-05 |
Provider Mailing Address Detail
| Address | 4515 S Regal St |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992237938 |
| Phone Number | 5094489686 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G8855122 | MEDICARE | ||
| 14129 | VIP | ||
| CP2230-59 | EYEMED | ||
| WA09203 | WA | NORIDIAN SUBMITTER ID | |
| 2017622 | WA | -- | |
| 42549 | DAVIS VISION | ||
| 10831 | MEDICARE | ||
| 2017218 | WA | -- | |
| 35548 | AVESIS |
Post Comment/ Review Below
What is the Shopko Stores Operating Co. Llc's 1023060050?
The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1023060050. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc is physically situated at 4515 S Regal St, in the city of Spokane, state of WA, with the postal code 992237938.
What is the Shopko Stores Operating Co. Llc's specialty and taxonomy code?
The Shopko Stores Operating Co. Llc's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023060050 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1023060050 to Shopko Stores Operating Co. Llc on 2006-05-17.
When was the information regarding Shopko Stores Operating Co. Llc most recently updated?
The details pertaining to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant information, were last refreshed on 2009-06-05.