Shopko Stores Operating Co. Llc in Springfield - Eyewear Supplier

Shopko Stores Operating Co. Llc - NPI 1760435333

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 1760435333. The last update date is 2008-01-30.

Shopko Stores Operating Co. Llc's current location address is 3030 Wabash Ave, Springfield, Illinois. You can contact this provider via phone number 2176989721. The mailing address for Shopko Stores Operating Co. Llc is 3030 Wabash Ave, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co. Llc
Address 3030 Wabash Ave, Springfield, Illinois
Phone Number 2176989721
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 1760435333
Provider Enumeration Date 2006-05-18
Last Updated Date 2008-01-30

Provider Mailing Address Detail

Address 3030 Wabash Ave
City Springfield
State Illinois (IL)
Post Code 627046413
Phone Number 2176989721
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
42563 DAVIS
CP2521-6 EYEMED
17688 MEDICARE
14150 VIP

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FAQs about Shopko Stores Operating Co. Llc

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) 1760435333. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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: 3030 Wabash Ave, Springfield, IL, 627046413.

What is Shopko Stores Operating Co. Llc's area of expertise and its corresponding taxonomy classification?

The Shopko Stores Operating Co. Llc's field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Shopko Stores Operating Co. Llc receive its 1760435333 assignment from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co. Llc was assigned its 1760435333 by the Centers for Medicare & Medicaid Services on 2006-05-18.

As of what date was the information pertaining to Shopko Stores Operating Co. Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shopko Stores Operating Co. Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-30.

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