Shopko Stores Operating Co. Llc in Mitchell - Eyewear Supplier

Shopko Stores Operating Co. Llc - NPI 1750334181

Shopko Stores Operating Co. Llc is a Eyewear Supplier in Mitchell, 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 1750334181. The last update date is 2008-02-11.

Shopko Stores Operating Co. Llc's current location address is 1900 N Main St, Mitchell, South Dakota. You can contact this provider via phone number 6059967042. The mailing address for Shopko Stores Operating Co. Llc is 1900 N Main St, Mitchell, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
Address 1900 N Main St, Mitchell, South Dakota
Phone Number 6059967042
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 1750334181
Provider Enumeration Date 2006-05-18
Last Updated Date 2008-02-11

Provider Mailing Address Detail

Address 1900 N Main St
City Mitchell
State South Dakota (SD)
Post Code 573011160
Phone Number 6059967042
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
14022 VIP
213121-27 EYEMED
35517 AVESIS
17910 MEDICARE

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FAQs about Shopko Stores Operating Co. Llc

What is the unique 10-digit identification 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) 1750334181, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Shopko Stores Operating Co. Llc is physically located?

The Shopko Stores Operating Co. Llc is situated at the following address: 1900 N Main St, Mitchell, SD 573011160.

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

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

On what date was the 1750334181 assigned to Shopko Stores Operating Co. Llc?

The Shopko Stores Operating Co. Llc was issued its 1750334181 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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 2008-02-11.

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