Shopko Stores Operating Co. Llc in Eau Claire - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1457303448
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Eau Claire, Wisconsin. 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 1457303448. The last update date is 2008-02-11.
Shopko Stores Operating Co. Llc's current location address is 963 W Clairemont Ave, Eau Claire, Wisconsin. You can contact this provider via phone number 7158327723. The mailing address for Shopko Stores Operating Co. Llc is 963 W Clairemont Ave, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 963 W Clairemont Ave, Eau Claire, Wisconsin |
| Phone Number | 7158327723 |
| 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 | 1457303448 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 963 W Clairemont Ave |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547016103 |
| Phone Number | 7158327723 |
| 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 |
|---|---|---|---|
| 38404800 | WI | -- | |
| 42612 | DAVIS | ||
| 87844 | MEDICARE | ||
| CP2230-66 | EYEMED | ||
| 14024 | VIP | ||
| 35559 | AVESIS | ||
| 17644 | MEDICARE | ||
| 410985054-4024 | NVA |
Post Comment/ Review Below
What is the unique identifier code issued to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) 1457303448. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Shopko Stores Operating Co. Llc's physical address?
The Shopko Stores Operating Co. Llc is physically located at 963 W Clairemont Ave, in the city of Eau Claire, WI, with the postal code 547016103.
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 1457303448 assigned to Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc was issued its 1457303448 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shopko Stores Operating Co. Llc's information last updated?
The Shopko Stores Operating Co. Llc's information was last updated on 2008-02-11.
NPI Number: 1952305922
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