Shopko Stores Operating Co. Llc in Bountiful - Optician
Shopko Stores Operating Co. Llc - NPI 1205889078
Shopko Stores Operating Co. Llc is a Optician in Bountiful, Utah. Shopko Stores Operating Co. Llc practices all healthcare services and medical treatments related to Optician. The NPI Number for Shopko Stores Operating Co. Llc is 1205889078. The last update date is 2008-07-10.
Shopko Stores Operating Co. Llc's current location address is 190 S 500 W, Bountiful, Utah. You can contact this provider via phone number 8012959200. The mailing address for Shopko Stores Operating Co. Llc is 190 S 500 W, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 190 S 500 W, Bountiful, Utah |
| Phone Number | 8012959200 |
| 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 | 1205889078 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 190 S 500 W |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840108729 |
| Phone Number | 8012959200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optician |
|---|---|
| Taxonomy | 156Fx1800X |
|
Definition: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17929 | MEDICARE | ||
| 14107 | VIP | ||
| UT04877 | UT | NORIDIAN SUBMITTER ID | |
| CP2230-53 | EYEMED | ||
| 42591 | DAVIS | ||
| 35537 | AVESIS | ||
| 410985054-229 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) 1205889078. This 10-digit code serves as a unique identification number for healthcare providers, issued by the 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 190 S 500 W, in the city of Bountiful, state of UT, with the postal code 840108729.
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 Optician, and the corresponding taxonomy code that categorizes this field of practice is 156Fx1800X.
On what date was the 1205889078 assigned to Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc was issued its 1205889078 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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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