Shopko Stores Operating Co Llc in Boise - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1326085077
Shopko Stores Operating Co Llc is a Eyewear Supplier in Boise, Idaho. 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 1326085077. The last update date is 2014-07-25.
Shopko Stores Operating Co Llc's current location address is 2655 Broadway Ave, Boise, Idaho. You can contact this provider via phone number 2083458728 and fax number 2083436591. The mailing address for Shopko Stores Operating Co Llc is 2655 Broadway Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2655 Broadway Ave, Boise, Idaho |
| Phone Number | 2083458728 |
| Fax Number | 2083436591 |
| 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 | 1326085077 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
| Address | 2655 Broadway Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837064721 |
| Phone Number | 2083458728 |
| Fax Number | 2083436591 |
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 |
|---|---|---|---|
| 1305108 | NCPDP NUMBER | ||
| 123000 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1326085077 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: 2655 Broadway Ave, Boise, ID, 837064721.
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.
On what date did the Centers for Medicare & Medicaid Services issue the 1326085077 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1326085077 assignment from the Centers for Medicare & Medicaid Services on 2006-06-01.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2014-07-25.