Shopko Stores Operating Co. Llc in Coeur D Alene - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1497708085
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Coeur D Alene, Idaho. Shopko Stores Operating Co. Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Shopko Stores Operating Co. Llc is 1497708085. The last update date is 2009-08-03.
Shopko Stores Operating Co. Llc's current location address is 217 W Ironwood Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2087658078. The mailing address for Shopko Stores Operating Co. Llc is 217 W Ironwood Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 217 W Ironwood Dr, Coeur D Alene, Idaho |
| Phone Number | 2087658078 |
| 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 | 1497708085 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2009-08-03 |
Provider Mailing Address Detail
| Address | 217 W Ironwood Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142651 |
| Phone Number | 2087658078 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14069 | VIP | ||
| 213121-4 | EYEMED | ||
| 35444 | AVESIS | ||
| 806430105 | ID | -- | |
| 42507 | DAVIS VISION | ||
| 1379403 | MEDICARE | ||
| 17837 | MEDICARE | ||
| 309800 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1497708085 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code 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: 217 W Ironwood Dr, Coeur D Alene, ID, 838142651.
What is Shopko Stores Operating Co. Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497708085 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services originally issued the 1497708085 to Shopko Stores Operating Co. Llc on 2006-05-18.
When was the information regarding Shopko Stores Operating Co. Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-08-03.