Shopko Stores Operating Co Llc in North Branch - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1689835647
Shopko Stores Operating Co Llc is a Eyewear Supplier in North Branch, 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 1689835647. The last update date is 2009-06-18.
Shopko Stores Operating Co Llc's current location address is 5630 St Croix Trail, North Branch, Minnesota. You can contact this provider via phone number 6516749951 and fax number 6516749907. The mailing address for Shopko Stores Operating Co Llc is 5630 St Croix Trail, North Branch, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 5630 St Croix Trail, North Branch, Minnesota |
| Phone Number | 6516749951 |
| Fax Number | 6516749907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1689835647 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2009-06-18 |
Provider Mailing Address Detail
| Address | 5630 St Croix Trail |
|---|---|
| City | North Branch |
| State | Minnesota (MN) |
| Post Code | 55056 |
| Phone Number | 6516749951 |
| Fax Number | 6516749907 |
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 |
|---|---|---|---|
| 1689835647 | MN | -- |
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) 1689835647. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (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 5630 St Croix Trail, in the city of North Branch, state of MN, with the postal code 55056.
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.
On what date did the Shopko Stores Operating Co Llc receive its 1689835647 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1689835647 by the Centers for Medicare & Medicaid Services on 2008-06-23.
When was the information pertaining to Shopko Stores Operating Co Llc most recently updated or revised?
The details related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-18.
NPI Number: 1063415297
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