Shopko Stores Operating Co. Llc in Dubuque - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1518910140
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Dubuque, Iowa. 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 1518910140. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 255 John F Kennedy Rd, Dubuque, Iowa. You can contact this provider via phone number 5635835895. The mailing address for Shopko Stores Operating Co. Llc is 255 John F Kennedy Rd, Dubuque, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 255 John F Kennedy Rd, Dubuque, Iowa |
| Phone Number | 5635835895 |
| 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 | 1518910140 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 255 John F Kennedy Rd |
|---|---|
| City | Dubuque |
| State | Iowa (IA) |
| Post Code | 520025313 |
| Phone Number | 5635835895 |
| 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 |
|---|---|---|---|
| 14164 | VIP | ||
| 70091 | MEDICARE | ||
| 17711 | MEDICARE | ||
| 35437 | AVESIS | ||
| 025-6347 | IA | -- | |
| OP1541 | EYEMED |
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) 1518910140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shopko Stores Operating Co. Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co. Llc are physically situated at the following location: 255 John F Kennedy Rd, Dubuque, IA, 520025313.
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 Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518910140 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1518910140 to Shopko Stores Operating Co. Llc on 2006-05-17.
As of what date were the details related to Shopko Stores Operating Co. Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-11.