Shopko Stores Operating Co. Llc in Boise - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1982656096
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 1982656096. The last update date is 2009-08-03.
Shopko Stores Operating Co. Llc's current location address is 8105 Fairview Ave, Boise, Idaho. You can contact this provider via phone number 2083239303. The mailing address for Shopko Stores Operating Co. Llc is 8105 Fairview Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 8105 Fairview Ave, Boise, Idaho |
| Phone Number | 2083239303 |
| 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 | 1982656096 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2009-08-03 |
Provider Mailing Address Detail
| Address | 8105 Fairview Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048486 |
| Phone Number | 2083239303 |
| 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 |
|---|---|---|---|
| 410985054-4065 | UWG | ||
| 35441 | AVESIS | ||
| 42502-000 | DAVIS VISION | ||
| 1379401 | MEDICARE | ||
| 17834 | MEDICARE | ||
| 806430102 | ID | -- | |
| 14065 | VIP | ||
| 213121-2 | EYEMED | ||
| 310000 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc has been issued the NPI (National Provider Identifier) 1982656096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Shopko Stores Operating Co. Llc is physically located?
The Shopko Stores Operating Co. Llc is physically situated at the following address: 8105 Fairview Ave, Boise, ID, 837048486.
What is Shopko Stores Operating Co. Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.
On what date did the Shopko Stores Operating Co. Llc receive the assignment of its 1982656096 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was issued its 1982656096 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the details pertaining to Shopko Stores Operating Co. Llc last refreshed?
The information related to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last updated on 2009-08-03.