Shopko Stores Operating Co. Llc in Kingsford - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1851341390
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Kingsford, Michigan. 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 1851341390. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 500 S Carpenter Ave, Kingsford, Michigan. You can contact this provider via phone number 9067799164. The mailing address for Shopko Stores Operating Co. Llc is 500 S Carpenter Ave, Kingsford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 500 S Carpenter Ave, Kingsford, Michigan |
| Phone Number | 9067799164 |
| 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 | 1851341390 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 500 S Carpenter Ave |
|---|---|
| City | Kingsford |
| State | Michigan (MI) |
| Post Code | 498024529 |
| Phone Number | 9067799164 |
| 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 |
|---|---|---|---|
| 14011 | VIP | ||
| 213121-11 | EYEMED | ||
| 38443600 | WI | -- | |
| 410985054-4011 | NVA | ||
| 0P06320 | MEDICARE | ||
| 35464 | AVESIS | ||
| 42578 | DAVIS | ||
| 17841 | MEDICARECOMPLETE |
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) 1851341390 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shopko Stores Operating Co. Llc is physically located?
The Shopko Stores Operating Co. Llc is physically situated at the following address: 500 S Carpenter Ave, Kingsford, MI, 498024529.
What is Shopko Stores Operating Co. Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co. Llc's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851341390 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1851341390 to Shopko Stores Operating Co. Llc on 2006-05-12.
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 2008-02-11.