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 |
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) 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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