Shopko Stores Operating Co. Llc in Rochester - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1700838802
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Rochester, 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 1700838802. The last update date is 2008-04-15.
Shopko Stores Operating Co. Llc's current location address is 2820 Highway 63 S, Rochester, Minnesota. You can contact this provider via phone number 5072810687. The mailing address for Shopko Stores Operating Co. Llc is 2820 Highway 63 S, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 2820 Highway 63 S, Rochester, Minnesota |
| Phone Number | 5072810687 |
| 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 | 1700838802 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 2820 Highway 63 S |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559045571 |
| Phone Number | 5072810687 |
| 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 |
|---|---|---|---|
| 17825 | MEDICARE | ||
| 20019120523 | MN MA PRIMEWEST HEALTH | ||
| 42617 | DAVIS | ||
| 213121-15 | EYEMED | ||
| 36055 | MN HEALTH PARTNERS | ||
| 39687SH | MN MA FIRST PLAN OF MN | ||
| 39701SH | MN MA FIRST PLAN OF MN | ||
| 14035 | VIP | ||
| 35471 | AVESIS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc has been issued the NPI (National Provider Identifier) 1700838802 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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 2820 Highway 63 S, in the city of Rochester, state of MN, with the postal code 559045571.
What is Shopko Stores Operating Co. Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
When did the Shopko Stores Operating Co. Llc receive its 1700838802?
The Shopko Stores Operating Co. Llc was issued its 1700838802 on 2006-05-17, which is the date when the organization was assigned this unique identifier.
When was the Shopko Stores Operating Co. Llc's information last updated?
The Shopko Stores Operating Co. Llc's information was last updated on 2008-04-15.