Shopko Stores Operating Co Llc in Idaho Falls - Eyewear Supplier
Shopko Stores Operating Co Llc - NPI 1255386975
Shopko Stores Operating Co Llc is a Eyewear Supplier in Idaho Falls, 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 1255386975. The last update date is 2014-03-21.
Shopko Stores Operating Co Llc's current location address is 800 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085223572 and fax number 2085223066. The mailing address for Shopko Stores Operating Co Llc is 800 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 800 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085223572 |
| Fax Number | 2085223066 |
| 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 | 1255386975 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2014-03-21 |
Provider Mailing Address Detail
| Address | 800 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046151 |
| Phone Number | 2085223572 |
| Fax Number | 2085223066 |
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 |
|---|---|---|---|
| 311500 | ID | -- | |
| 1304512 | NCPDP NUMBER |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's unique identification number?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) Number 1255386975 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is physically situated at 800 E 17Th St, in the city of Idaho Falls, state of ID, with the postal code 834046151.
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 its 1255386975 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1255386975 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date were the details related to Shopko Stores Operating Co Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-21.