Shopko Stores Operating Co. Llc in Spokane Valley - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1073565123
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Spokane Valley, Washington. 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 1073565123. The last update date is 2009-06-05.
Shopko Stores Operating Co. Llc's current location address is 13414 E Sprague Ave, Spokane Valley, Washington. You can contact this provider via phone number 5099242015. The mailing address for Shopko Stores Operating Co. Llc is 13414 E Sprague Ave, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 13414 E Sprague Ave, Spokane Valley, Washington |
| Phone Number | 5099242015 |
| 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 | 1073565123 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2009-06-05 |
Provider Mailing Address Detail
| Address | 13414 E Sprague Ave |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 992160848 |
| Phone Number | 5099242015 |
| 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 |
|---|---|---|---|
| 35546 | AVESIS | ||
| 14070 | VIP | ||
| WA09206 | WA | NORIDIAN SUBMITTER ID | |
| 213121-29 | EYEMED | ||
| 2013142 | WA | -- | |
| G8854794 | MEDICARE | ||
| 10829 | MEDICARE | ||
| 2005056 | WA | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co. Llc's 1073565123?
The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1073565123. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 13414 E Sprague Ave, Spokane Valley, WA, 992160848.
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.
When was the Shopko Stores Operating Co. Llc's 1073565123 issued?
The Shopko Stores Operating Co. Llc's 1073565123 was issued on 2006-05-17.
When was the information related to Shopko Stores Operating Co. Llc most recently updated or refreshed?
The details pertaining to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-05.
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