Shopko Stores Operating,Co.,Llc in Oregon - Optometrist
Shopko Stores Operating,Co.,Llc - NPI 1265483168
Shopko Stores Operating,Co.,Llc is a Optometrist in Oregon, Wisconsin. 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 1265483168. The last update date is 2020-08-22.
Shopko Stores Operating,Co.,Llc's current location address is 6218 Trail Ridge Ct, Oregon, Wisconsin. You can contact this provider via phone number 6082229420 and fax number 6082220578. The mailing address for Shopko Stores Operating,Co.,Llc is 6218 Trail Ridge Ct, Oregon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating,Co.,Llc |
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Address | 6218 Trail Ridge Ct, Oregon, Wisconsin |
Phone Number | 6082229420 |
Fax Number | 6082220578 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OPTOMOTRIS |
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Authorized Official Name | Olson Dewey Richard |
Credentials | O.D. |
Telephone Number | 6082229420 |
NPI Number Detail
NPI Number | 1265483168 |
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Provider Enumeration Date | 2006-05-15 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 6218 Trail Ridge Ct |
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City | Oregon |
State | Wisconsin (WI) |
Post Code | 535752534 |
Phone Number | 6082229420 |
Fax Number | 6082220578 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 1772 |
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 |
---|---|---|---|
38416300 | WI | -- |
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) 1265483168 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shopko Stores Operating,Co.,Llc is geographically located?
The Shopko Stores Operating,Co.,Llc is physically situated at the following location: 6218 Trail Ridge Ct, Oregon, WI, 535752534.
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.
When did Shopko Stores Operating,Co.,Llc receive its 1265483168 assignment?
The Shopko Stores Operating,Co.,Llc was assigned its 1265483168 on 2006-05-15, which is the date when this unique identifier was issued to the organization.
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 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY