Shopko Stores Operating Co. Llc in Salt Lake City - Optician

Shopko Stores Operating Co. Llc - NPI 1568415339

Shopko Stores Operating Co. Llc is a Optician in Salt Lake City, 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 1568415339. The last update date is 2008-07-10.

Shopko Stores Operating Co. Llc's current location address is 2290 S 1300 E, Salt Lake City, Utah. You can contact this provider via phone number 8014678989. The mailing address for Shopko Stores Operating Co. Llc is 2290 S 1300 E, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
Address 2290 S 1300 E, Salt Lake City, Utah
Phone Number 8014678989
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 1568415339
Provider Enumeration Date 2006-05-19
Last Updated Date 2008-07-10

Provider Mailing Address Detail

Address 2290 S 1300 E
City Salt Lake City
State Utah (UT)
Post Code 841062831
Phone Number 8014678989
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
CP2230-50 EYEMED
35534 AVESIS
410985054-246 UT --
17933 MEDICARE
410985054-4110 NATIONAL VISION ADMIN
14110 VIP
42512 DAVIS
UT03960 UT NORIDIAN SUBMITTER ID

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FAQs about Shopko Stores Operating Co. Llc

What is the unique 10-digit identification code issued to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) 1568415339 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier 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: 2290 S 1300 E, Salt Lake City, UT, 841062831.

What is the Shopko Stores Operating Co. Llc's specialty and taxonomy code?

The Shopko Stores Operating Co. Llc's specialty is Optician, and the corresponding taxonomy code is 156Fx1800X.

On what date was the 1568415339 assigned to Shopko Stores Operating Co. Llc?

The Shopko Stores Operating Co. Llc was issued its 1568415339 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 was the information pertaining to Shopko Stores Operating Co. Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

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

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