Shopko Stores Operating Co. Llc in Orem - Optician

Shopko Stores Operating Co. Llc - NPI 1396798161

Shopko Stores Operating Co. Llc is a Optician in Orem, 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 1396798161. The last update date is 2008-07-10.

Shopko Stores Operating Co. Llc's current location address is 125 S State St, Orem, Utah. You can contact this provider via phone number 8012254700. The mailing address for Shopko Stores Operating Co. Llc is 125 S State St, Orem, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
Address 125 S State St, Orem, Utah
Phone Number 8012254700
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 1396798161
Provider Enumeration Date 2006-05-19
Last Updated Date 2008-07-10

Provider Mailing Address Detail

Address 125 S State St
City Orem
State Utah (UT)
Post Code 840585419
Phone Number 8012254700
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
14105 VIP
CP2230-46 EYEMED
35528 AVESIS
410985054-196 UT --
UT04884 UT NORIDIAN SUBMITTER ID
17928 MEDICARE
42586 DAVIS

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FAQs about Shopko Stores Operating Co. Llc

What is the Shopko Stores Operating Co. Llc's 1396798161?

The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1396798161. 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 125 S State St, in the city of Orem, state of UT, with the postal code 840585419.

What is Shopko Stores Operating Co. Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shopko Stores Operating Co. Llc is Optician, and the taxonomy code that categorizes this field of expertise is 156Fx1800X.

On what date did the Shopko Stores Operating Co. Llc receive the assignment of its 1396798161 from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co. Llc was issued its 1396798161 by the Centers for Medicare & Medicaid Services on 2006-05-19.

As of what date were the details pertaining to Shopko Stores Operating Co. Llc last refreshed?

The information related to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated on 2008-07-10.

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