Shopko Stores Operating Co. Llc in Aberdeen - Eyewear Supplier

Shopko Stores Operating Co. Llc - NPI 1124071568

Shopko Stores Operating Co. Llc is a Eyewear Supplier in Aberdeen, South Dakota. 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 1124071568. The last update date is 2008-02-11.

Shopko Stores Operating Co. Llc's current location address is 500 N Hwy 281, Aberdeen, South Dakota. You can contact this provider via phone number 6052257677. The mailing address for Shopko Stores Operating Co. Llc is 500 N Hwy 281, Aberdeen, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
Address 500 N Hwy 281, Aberdeen, South Dakota
Phone Number 6052257677
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 1124071568
Provider Enumeration Date 2006-05-18
Last Updated Date 2008-02-11

Provider Mailing Address Detail

Address 500 N Hwy 281
City Aberdeen
State South Dakota (SD)
Post Code 574011821
Phone Number 6052257677
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
17911 MEDICARE
14049 VIP
213121-26 EYEMED
35516 AVESIS

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FAQs about Shopko Stores Operating Co. Llc

What is the unique provider identifier assigned to Shopko Stores Operating Co. Llc?

The Shopko Stores Operating Co. Llc has been issued the NPI (National Provider Identifier) 1124071568 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Shopko Stores Operating Co. Llc is geographically located?

The Shopko Stores Operating Co. Llc is physically situated at the following location: 500 N Hwy 281, Aberdeen, SD, 574011821.

What is Shopko Stores Operating Co. Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shopko Stores Operating Co. Llc's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.

On what date did Shopko Stores Operating Co. Llc receive its 1124071568 assignment from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co. Llc was assigned its 1124071568 on 2006-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Shopko Stores Operating Co. Llc last refreshed?

The information related to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated on 2008-02-11.

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