Shopko Stores Operating Co. Llc in Wenatchee - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1386696383
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Wenatchee, 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 1386696383. The last update date is 2009-06-05.
Shopko Stores Operating Co. Llc's current location address is 1340 N Wenatchee Ave, Wenatchee, Washington. You can contact this provider via phone number 5096638868. The mailing address for Shopko Stores Operating Co. Llc is 1340 N Wenatchee Ave, Wenatchee, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 1340 N Wenatchee Ave, Wenatchee, Washington |
| Phone Number | 5096638868 |
| 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 | 1386696383 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2009-06-05 |
Provider Mailing Address Detail
| Address | 1340 N Wenatchee Ave |
|---|---|
| City | Wenatchee |
| State | Washington (WA) |
| Post Code | 988011558 |
| Phone Number | 5096638868 |
| 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 |
|---|---|---|---|
| 17677 | MEDICARE | ||
| 14122 | VIP | ||
| G8855121 | MEDICARE | ||
| 35552 | AVESIS | ||
| 2016731 | WA | -- | |
| WA09230 | WA | NORIDIAN SUBMITTER ID | |
| CP2230-60 | EYEMED |
Post Comment/ Review Below
What is the Shopko Stores Operating Co. Llc's 1386696383?
The Shopko Stores Operating Co. Llc's NPI (National Provider Identifier) Number is 1386696383. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shopko Stores Operating Co. Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co. Llc are physically situated at the following location: 1340 N Wenatchee Ave, Wenatchee, WA, 988011558.
What is Shopko Stores Operating Co. Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386696383 to Shopko Stores Operating Co. Llc?
The Centers for Medicare & Medicaid Services originally issued the 1386696383 to Shopko Stores Operating Co. Llc on 2006-05-17.
When was the Shopko Stores Operating Co. Llc's information last updated?
The Shopko Stores Operating Co. Llc's information was last updated on 2009-06-05.