Shopko Stores Operating Co. Llc in Lewiston - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1003869678
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Lewiston, 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 1003869678. The last update date is 2009-08-03.
Shopko Stores Operating Co. Llc's current location address is 2120 Thain Grade, Lewiston, Idaho. You can contact this provider via phone number 2087461050. The mailing address for Shopko Stores Operating Co. Llc is 2120 Thain Grade, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 2120 Thain Grade, Lewiston, Idaho |
| Phone Number | 2087461050 |
| 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 | 1003869678 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2009-08-03 |
Provider Mailing Address Detail
| Address | 2120 Thain Grade |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835014105 |
| Phone Number | 2087461050 |
| 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 |
|---|---|---|---|
| 1379404 | MEDICARE | ||
| 310200 | ID | -- | |
| 14072 | VIP | ||
| 17838 | MEDICARE | ||
| 213121-6 | EYEMED | ||
| 806430106 | ID | -- | |
| 35447 | AVESIS |
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) 1003869678. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Shopko Stores Operating Co. Llc is physically located?
The Shopko Stores Operating Co. Llc is situated at the following address: 2120 Thain Grade, Lewiston, ID 835014105.
What is Shopko Stores Operating Co. Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
When did the Shopko Stores Operating Co. Llc receive its 1003869678?
The Shopko Stores Operating Co. Llc was issued its 1003869678 on 2006-05-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding Shopko Stores Operating Co. Llc most recently updated?
The details pertaining to the Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant information, were last refreshed on 2009-08-03.