Shopko Stores Operating Co. Llc in Eugene - Eyewear Supplier

Shopko Stores Operating Co. Llc - NPI 1265483572

Shopko Stores Operating Co. Llc is a Eyewear Supplier in Eugene, Oregon. 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 1265483572. The last update date is 2020-08-22.

Shopko Stores Operating Co. Llc's current location address is 955 Bailey Hill Rd, Eugene, Oregon. You can contact this provider via phone number 5416860857. The mailing address for Shopko Stores Operating Co. Llc is 955 Bailey Hill Rd, Eugene, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
Address 955 Bailey Hill Rd, Eugene, Oregon
Phone Number 5416860857
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 1265483572
Provider Enumeration Date 2006-05-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 955 Bailey Hill Rd
City Eugene
State Oregon (OR)
Post Code 974025486
Phone Number 5416860857
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
CP2230-34 EYEMED
OMAP OR --
14094 VIP
42576 DAVIS VISION
6929 OR --

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FAQs about Shopko Stores Operating Co. Llc

What is the Shopko Stores Operating Co. Llc's unique identification number?

The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) Number 1265483572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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: 955 Bailey Hill Rd, Eugene, OR, 974025486.

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.

When was the Shopko Stores Operating Co. Llc's 1265483572 issued?

The Shopko Stores Operating Co. Llc's 1265483572 was issued on 2006-05-12.

As of what date were the details related to Shopko Stores Operating Co. Llc most recently updated or revised?

The information pertaining to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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