Shopko Stores Operating Co. Llc in Peoria - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1073565180
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Peoria, Illinois. 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 1073565180. The last update date is 2007-09-28.
Shopko Stores Operating Co. Llc's current location address is 2323 W Pioneer Pkwy, Peoria, Illinois. You can contact this provider via phone number 3096914815. The mailing address for Shopko Stores Operating Co. Llc is 2323 W Pioneer Pkwy, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 2323 W Pioneer Pkwy, Peoria, Illinois |
| Phone Number | 3096914815 |
| 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 | 1073565180 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 2323 W Pioneer Pkwy |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616151833 |
| Phone Number | 3096914815 |
| 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 |
|---|---|---|---|
| 17691 | MEDICARE | ||
| 35458 | AVESIS | ||
| 14174 | VIP | ||
| CP230-16 | EYEMED | ||
| 42575 | DAVIS |
Post Comment/ Review Below
What is the unique identifier code issued to Shopko Stores Operating Co. Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc has been assigned the NPI (National Provider Identifier) 1073565180. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shopko Stores Operating Co. Llc is geographically located?
The Shopko Stores Operating Co. Llc is physically situated at the following location: 2323 W Pioneer Pkwy, Peoria, IL, 616151833.
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 Shopko Stores Operating Co. Llc receive its 1073565180 assignment?
The Shopko Stores Operating Co. Llc was assigned its 1073565180 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shopko Stores Operating Co. Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-28.
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