Shopko Stores Operating Co. Llc in Nampa - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1164475752
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Nampa, 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 1164475752. The last update date is 2009-08-03.
Shopko Stores Operating Co. Llc's current location address is 2100 Caldwell Blvd, Nampa, Idaho. You can contact this provider via phone number 2084666895. The mailing address for Shopko Stores Operating Co. Llc is 2100 Caldwell Blvd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 2100 Caldwell Blvd, Nampa, Idaho |
| Phone Number | 2084666895 |
| 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 | 1164475752 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2009-08-03 |
Provider Mailing Address Detail
| Address | 2100 Caldwell Blvd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836511510 |
| Phone Number | 2084666895 |
| 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 |
|---|---|---|---|
| 14064 | VIP | ||
| 17713 | MEDICARE | ||
| 806430101 | ID | -- | |
| 1379400 | MEDICARE | ||
| 42500 | DAVIS VISION | ||
| 309900 | ID | -- | |
| 213121-7 | EYEMED | ||
| 410985054-4064 | UWG | ||
| 35449 | AVESIS |
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) 1164475752 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: 2100 Caldwell Blvd, Nampa, ID, 836511510.
What is the Shopko Stores Operating Co. Llc's specialty and taxonomy code?
The Shopko Stores Operating Co. Llc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
When was the Shopko Stores Operating Co. Llc's 1164475752 issued?
The Shopko Stores Operating Co. Llc's 1164475752 was issued 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.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA