Shopko Stores Operating Co. Llc in Springfield - Eyewear Supplier
Shopko Stores Operating Co. Llc - NPI 1326090424
Shopko Stores Operating Co. Llc is a Eyewear Supplier in Springfield, 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 1326090424. The last update date is 2008-06-04.
Shopko Stores Operating Co. Llc's current location address is 3001 S Dirksen Pkwy, Springfield, Illinois. You can contact this provider via phone number 2175858845. The mailing address for Shopko Stores Operating Co. Llc is 3001 S Dirksen Pkwy, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co. Llc |
|---|---|
| Address | 3001 S Dirksen Pkwy, Springfield, Illinois |
| Phone Number | 2175858845 |
| 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 | 1326090424 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-06-04 |
Provider Mailing Address Detail
| Address | 3001 S Dirksen Pkwy |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627034502 |
| Phone Number | 2175858845 |
| 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 |
|---|---|---|---|
| CP2521-7 | EYEMED | ||
| 14153 | VIP | ||
| 42564 | DAVIS | ||
| 17689 | MEDICARE | ||
| 5232016 | IL | BCBS IL |
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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) 1326090424 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shopko Stores Operating Co. Llc located?
The Shopko Stores Operating Co. Llc is located at 3001 S Dirksen Pkwy, Springfield, IL 627034502.
What is Shopko Stores Operating Co. Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shopko Stores Operating Co. Llc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did Shopko Stores Operating Co. Llc receive its 1326090424 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co. Llc was assigned its 1326090424 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2008-06-04.
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