Shopko Stores Operating Co. Llc in Riverdale - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1295788065
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Riverdale, Utah. 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 1295788065. The last update date is 2008-07-10.
Shopko Stores Operating Co. Llc's current location address is 4060 Riverdale Rd, Riverdale, Utah. You can contact this provider via phone number 8013924300. The mailing address for Shopko Stores Operating Co. Llc is 4060 Riverdale Rd, Riverdale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 4060 Riverdale Rd, Riverdale, Utah |
| Phone Number | 8013924300 |
| 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 | 1295788065 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 4060 Riverdale Rd |
|---|---|
| City | Riverdale |
| State | Utah (UT) |
| Post Code | 844051518 |
| Phone Number | 8013924300 |
| 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 |
|---|---|---|---|
| 410985054-408 | UT | -- | |
| 14109 | VIP | ||
| UT04871 | UT | NORIDIAN SUBMITTER ID | |
| 42510 | DAVIS | ||
| 17932 | MEDICARE | ||
| 90125 | MEDICARE | ||
| CP2230-48 | EYEMED |
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) 1295788065 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 4060 Riverdale Rd, in the city of Riverdale, state of UT, with the postal code 844051518.
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.
When did Shopko Stores Operating Co. Llc receive its 1295788065 assignment?
The Shopko Stores Operating Co. Llc was assigned its 1295788065 on 2006-05-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shopko Stores Operating Co. Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-10.