Shopko Stores Operating Co. Llc in Fort Madison - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1629021480
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Fort Madison, 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 1629021480. The last update date is 2008-01-30.
Shopko Stores Operating Co. Llc's current location address is 4810 Avenue O, Fort Madison, Iowa. You can contact this provider via phone number 3193728633. The mailing address for Shopko Stores Operating Co. Llc is 4810 Avenue O, Fort Madison, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 4810 Avenue O, Fort Madison, Iowa |
| Phone Number | 3193728633 |
| 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 | 1629021480 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
| Address | 4810 Avenue O |
|---|---|
| City | Fort Madison |
| State | Iowa (IA) |
| Post Code | 526279677 |
| Phone Number | 3193728633 |
| 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 |
|---|---|---|---|
| I8499 | MEDICARE | ||
| 14142 | VIP | ||
| 252080 | IA | -- | |
| CP2521-2 | EYEMED | ||
| 17709 | MEDICARE |
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) 1629021480. 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 4810 Avenue O, in the city of Fort Madison, state of IA, with the postal code 526279677.
What is the area of specialization for Shopko Stores Operating Co. Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629021480 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services originally issued the 1629021480 to Shopko Stores Operating Co. Llc on 2006-05-19.
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 2008-01-30.