Shopko Stores Operating Co. Llc in Saint Cloud - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1174575500
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Saint Cloud, 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 1174575500. The last update date is 2008-04-15.
Shopko Stores Operating Co. Llc's current location address is 4161 2nd St S, Saint Cloud, Minnesota. You can contact this provider via phone number 3202535994. The mailing address for Shopko Stores Operating Co. Llc is 4161 2nd St S, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 4161 2nd St S, Saint Cloud, Minnesota |
| Phone Number | 3202535994 |
| 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 | 1174575500 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 4161 2nd St S |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563013761 |
| Phone Number | 3202535994 |
| 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 |
|---|---|---|---|
| 42601 | DAVIS | ||
| 14017 | VIP | ||
| 77166SH | MN MA FIRST PLAN OF MN | ||
| 17821 | MEDICARE | ||
| 2123169 | MN MA MEDICA CHOICE CARE | ||
| 23667 | MN HEALTH PARTNERS | ||
| CP2230-22 | EYEMED | ||
| 35585 | AVESIS | ||
| 77168MA | MN BLUE PLUS CARE | ||
| 3092036202 | MN MA PRIMEWEST HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) 1174575500. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Shopko Stores Operating Co. Llc's facilities are situated?
The facilities of Shopko Stores Operating Co. Llc are physically located at the following address: 4161 2Nd St S, Saint Cloud, MN, 563013761.
What is Shopko Stores Operating Co. Llc's area of expertise and its corresponding taxonomy classification?
The Shopko Stores Operating Co. Llc's field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1174575500 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services assigned the 1174575500 to Shopko Stores Operating Co. Llc on 2006-05-16.
As of what date were the Shopko Stores Operating Co. Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co. Llc, including its address, specialty, and other details, was most recently updated on 2008-04-15.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC