Shopko Stores Operating Co. Llc in Walla Walla - Optometrist
Shopko Stores Operating Co. Llc - NPI 1902859531
Shopko Stores Operating Co. Llc is a Optometrist in Walla Walla, 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 1902859531. The last update date is 2009-06-05.
Shopko Stores Operating Co. Llc's current location address is 1600 W Rose St, Walla Walla, Washington. You can contact this provider via phone number 5095259301. The mailing address for Shopko Stores Operating Co. Llc is 1600 W Rose St, Walla Walla, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 1600 W Rose St, Walla Walla, Washington |
| Phone Number | 5095259301 |
| 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 | 1902859531 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2009-06-05 |
Provider Mailing Address Detail
| Address | 1600 W Rose St |
|---|---|
| City | Walla Walla |
| State | Washington (WA) |
| Post Code | 993621771 |
| Phone Number | 5095259301 |
| 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17674 | MEDICARE | ||
| G8854797 | MEDICARE | ||
| 2009942 | WA | -- | |
| 35551 | AVESIS | ||
| 14089 | VIP | ||
| 2130268 | WA | -- | |
| 213121-1 | EYEMED | ||
| WA09207 | WA | NORIDIAN SUBMITTER ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc has been issued the NPI (National Provider Identifier) 1902859531 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Shopko Stores Operating Co. Llc's physical address?
The Shopko Stores Operating Co. Llc is physically located at 1600 W Rose St, in the city of Walla Walla, WA, with the postal code 993621771.
What is Shopko Stores Operating Co. Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co. Llc's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Shopko Stores Operating Co. Llc receive the assignment of its 1902859531 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was issued its 1902859531 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information pertaining to Shopko Stores Operating Co. Llc most recently updated or revised?
The details related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY