Shopko Stores Operating Co. Llc in West Valley City - Optometrist
Shopko Stores Operating Co. Llc - NPI 1588617351
Shopko Stores Operating Co. Llc is a Optometrist in West Valley 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 1588617351. The last update date is 2008-07-10.
Shopko Stores Operating Co. Llc's current location address is 4850 W 3500 S, West Valley City, Utah. You can contact this provider via phone number 8019676300. The mailing address for Shopko Stores Operating Co. Llc is 4850 W 3500 S, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co. Llc |
---|---|
Address | 4850 W 3500 S, West Valley City, Utah |
Phone Number | 8019676300 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR. VICE P |
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Authorized Official Name | Bettiga J Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1588617351 |
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Provider Enumeration Date | 2006-05-19 |
Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
Address | 4850 W 3500 S |
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City | West Valley City |
State | Utah (UT) |
Post Code | 841202927 |
Phone Number | 8019676300 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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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 |
---|---|---|---|
42579 | DAVIS | ||
UT04872 | UT | NORIDIAN SUBMITTER ID | |
14097 | VIP | ||
041098505-006 | UT | -- | |
17926 | MEDICARE | ||
CP2230-55 | EYEMED |
Post Comment/ Review Below
What is the Shopko Stores Operating Co. Llc's 1588617351?
The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1588617351. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 4850 W 3500 S, West Valley City, UT, 841202927.
What is Shopko Stores Operating Co. Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shopko Stores Operating Co. Llc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588617351 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1588617351 to Shopko Stores Operating Co. Llc on 2006-05-19.
As of what date were the Shopko Stores Operating Co. Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co. Llc, including its address, specialty, and other details, was most recently updated on 2008-07-10.
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