Shopko Stores Operating Co. Llc in Meridian - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1184677759
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Meridian, 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 1184677759. The last update date is 2009-08-03.
Shopko Stores Operating Co. Llc's current location address is 3499 E Fairview Ave, Meridian, Idaho. You can contact this provider via phone number 2088841362. The mailing address for Shopko Stores Operating Co. Llc is 3499 E Fairview Ave, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 3499 E Fairview Ave, Meridian, Idaho |
| Phone Number | 2088841362 |
| 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 | 1184677759 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2009-08-03 |
Provider Mailing Address Detail
| Address | 3499 E Fairview Ave |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836425848 |
| Phone Number | 2088841362 |
| 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 |
|---|---|---|---|
| CP2230-11 | EYEMED | ||
| 14169 | VIP | ||
| 1593902 | MEDICARE | ||
| 17840 | MEDICARE | ||
| 805542700 | ID | -- | |
| 35448 | AVESIS | ||
| 806430108 | ID | -- | |
| 42568 | DAVIS VISION |
Post Comment/ Review Below
What is the unique identification code assigned to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc has been issued the NPI (National Provider Identifier) 1184677759. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shopko Stores Operating Co. Llc located?
The Shopko Stores Operating Co. Llc is located at 3499 E Fairview Ave, Meridian, ID 836425848.
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.
On what date did the Centers for Medicare & Medicaid Services issue the 1184677759 to Shopko Stores Operating Co. Llc?
The Shopko Stores Operating Co. Llc received its 1184677759 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information pertaining to Shopko Stores Operating Co. Llc most recently updated or revised?
The details related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant information, were last updated or revised on 2009-08-03.