Shopko Stores Operating Co. Llc in Austin - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1558314104
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Austin, Minnesota. 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 1558314104. The last update date is 2008-04-15.
Shopko Stores Operating Co. Llc's current location address is 1209 18th Ave Nw, Austin, Minnesota. You can contact this provider via phone number 5074378228. The mailing address for Shopko Stores Operating Co. Llc is 1209 18th Ave Nw, Austin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 1209 18th Ave Nw, Austin, Minnesota |
| Phone Number | 5074378228 |
| 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 | 1558314104 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 1209 18th Ave Nw |
|---|---|
| City | Austin |
| State | Minnesota (MN) |
| Post Code | 559121881 |
| Phone Number | 5074378228 |
| 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 |
|---|---|---|---|
| 32500SH | MN BLUE PLUS CARE | ||
| 36057 | MN HEALTH PARTNERS | ||
| 14041 | VIP | ||
| 20019120526 | MN MA PRIMEWEST HEALTH | ||
| 42593 | DAVIS | ||
| 32437SH | MN MA FIRST PLAN OF MN | ||
| 17827 | MEDICARE | ||
| 213121-13 | EYEMED | ||
| 35554 | AVESIS |
Post Comment/ Review Below
What is the unique 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) 1558314104. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shopko Stores Operating Co. Llc is physically located?
The Shopko Stores Operating Co. Llc is situated at the following address: 1209 18Th Ave Nw, Austin, MN 559121881.
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 was the 1558314104 assigned to Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc was issued its 1558314104 on 2006-05-17, 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 2008-04-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY