Shopko Stores Operating Co. Llc in Marshall - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1801848890
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Marshall, 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 1801848890. The last update date is 2008-04-15.
Shopko Stores Operating Co. Llc's current location address is 1200 Susan Dr, Marshall, Minnesota. You can contact this provider via phone number 5075379652. The mailing address for Shopko Stores Operating Co. Llc is 1200 Susan Dr, Marshall, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 1200 Susan Dr, Marshall, Minnesota |
| Phone Number | 5075379652 |
| 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 | 1801848890 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 1200 Susan Dr |
|---|---|
| City | Marshall |
| State | Minnesota (MN) |
| Post Code | 562582580 |
| Phone Number | 5075379652 |
| 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 |
|---|---|---|---|
| 14025 | VIP | ||
| 3092036204 | MN MA PRIMEWEST HEALTH | ||
| 17824 | MEDICARE | ||
| 42615 | DAVIS | ||
| CP2230-21 | EYEMED | ||
| 35695 | AVESIS | ||
| 4C071SH | MN BLUE PLUS CARE | ||
| 3C214SH | MN MA FIRST PLAN OF MN |
Post Comment/ Review Below
What is the Shopko Stores Operating Co. Llc's 1801848890?
The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1801848890. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 1200 Susan Dr, Marshall, MN, 562582580.
What is Shopko Stores Operating Co. Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
When did Shopko Stores Operating Co. Llc receive its 1801848890 assignment?
The Shopko Stores Operating Co. Llc was assigned its 1801848890 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
When was the information related to Shopko Stores Operating Co. Llc most recently updated or refreshed?
The details pertaining to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-15.